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

Dr. Jason Russell, DPT

Individual provider Physical Therapist · NPI 1205246006

Dr. Jason Russell, DPT is a Physical Therapist in Independence, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2014
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

3980 S Jackson Dr
Independence, MO 64057
Phone: (816) 795-1433
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2012027765 (MO)

Record details

NPI number1205246006
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedMay 1, 2014
Last updated in NPPESMay 1, 2014

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