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

Derick M Russell, MPT

Individual provider Orthopedic Physical Therapist · NPI 1710907480

Derick M Russell, MPT is an Orthopedic Physical Therapist in Oak Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Practice location Address checks out

6326 W Roosevelt Rd
Oak Park, IL 60304
Phone: (708) 691-3562
Fax: (708) 660-9356
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X (IL)

Record details

NPI number1710907480
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorYes
NPI enumeratedJuly 19, 2006
Last updated in NPPESJuly 8, 2007