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

Daniel Stark Russon, DPT, PT

Individual provider Physical Therapist · NPI 1962242669

Daniel Stark Russon, DPT, PT is a Physical Therapist in Private Practice in Kimberly, Idaho. Qualified in 2024, 2 years ago. Practices with Wright Physical Therapy Limited Partnership, a 53-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
2
Licensed in
ID
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

931 Center St W Ste C
Kimberly, ID 83341-5326
Phone: (208) 423-9999
Fax: (208) 423-9998
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-9150 (ID)

Record details

NPI number1962242669
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , PT
Sole proprietorYes
NPI enumeratedMay 29, 2024
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Wright Physical Therapy Limited Partnership — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kimberly