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

Kelsey Russell, PTA

Individual provider Physical Therapy Assistant · NPI 1972262061

Kelsey Russell, PTA is a Physical Therapy Assistant in Mattoon, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1017 Stinson Ave
Mattoon, IL 61938-6044
Phone: (217) 232-1660
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 160.005193 (IL)

Record details

NPI number1972262061
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 15, 2021
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021

Other providers in Mattoon