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

Jessika Lynn Russell

Individual provider Physical Therapy Assistant · NPI 1932782166

Jessika Lynn Russell is a Physical Therapy Assistant in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2021.

Licensed in
NC
In the registry since
2021

Practice location Address checks out

1199 Hayes Forest Dr
Winston Salem, NC 27106-3377
Phone: (336) 337-5113
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A5651 (NC)

Record details

NPI number1932782166
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 5, 2021
Last updated in NPPESMay 5, 2021
Certification dateApril 29, 2021

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