Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colleen Russell, PT

Individual provider Physical Therapist · NPI 1922173574

Colleen Russell, PT is a Physical Therapist in Private Practice in San Luis Obispo, California. Qualified in 2006, 20 years ago. Practices with San Luis Physical Therapy and Orthopedic Rehabilitation Inc, a 84-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

805 Aerovista Pl Ste 104
San Luis Obispo, CA 93401-7919
Phone: (805) 543-7771
Fax: (805) 543-7761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT32942 (CA)

Record details

NPI number1922173574
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 21, 2006
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice San Luis Physical Therapy And Orthopedic Rehabilitation Inc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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