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

Elizabeth Diane Russell, PT

Individual provider Physical Therapist · NPI 1609994813

Elizabeth Diane Russell, PT is a Physical Therapist in Private Practice in Benton, Arkansas. Qualified in 2007, 19 years ago. Practices with Baptist Memorial Medical Group, Inc, a 571-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
19
Licensed in
AR
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

5407 Union Sq
Benton, AR 72019-6898
Phone: (205) 394-0120
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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 3111 (AR)

Record details

NPI number1609994813
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 26, 2007
Last updated in NPPESNovember 29, 2010

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Baptist Memorial Medical Group, Inc. — 571 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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