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

Dr. Ellery T. Russian, DPT

Individual provider Physical Therapist · NPI 1114083300

Dr. Ellery T. Russian, DPT is a Physical Therapist in Private Practice in Seattle, Washington. Qualified in 2005, 21 years ago. Practices with Equilibrium Physical Therapy, LLC, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
21
Licensed in
WA
In the registry since
2006
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1959 NE Pacific St Box 356490
Seattle, WA 98195-0001
Phone: (206) 598-4830
Fax: (206) 598-4897
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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 PT00009931 (WA)

Record details

NPI number1114083300
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 29, 2006
Last updated in NPPESSeptember 5, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Equilibrium Physical Therapy, Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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