Dr. Jacob Aaron Russell, PT, DPT
Dr. Jacob Aaron Russell, PT, DPT is a Physical Therapist in Private Practice in Benton, Illinois. Qualified in 2025, 1 year ago. Licensed in Illinois.
- Years since qualifying
- 1
- Licensed in
- IL
- In the registry since
- 2025
What do these letters mean?
Practice location Address checks out
1104 W Main StBenton, IL 62812-1565
Phone: (618) 439-3399
Fax: (618) 439-4801
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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 070029347 (IL) |
|---|
Record details
| NPI number | 1356228142 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT , DPT |
| Sole proprietor | No |
| NPI enumerated | August 21, 2025 |
| Last updated in NPPES | August 28, 2025 |
| Certification date | August 28, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Benton
-
Mr. Randall Wayne Lawrence, PT
1104 W Main St, Benton, IL 62812-1565 · (618) 439-3399
-
Colin Jacob Overstreet, DPT
1104 W Main St, Benton, IL 62812-1565 · (618) 439-3399
-
Patcholo Yap Paglinawan, PT
1310 Mark Franklin Dr, Benton, IL 62812-2049 · (618) 439-3500
-
Rci (Wrs), LLC
1104 W Main St, Benton, IL 62812-1565 · (618) 439-3399