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

Lauren K Russell, PT

Individual provider Physical Therapist · NPI 1992091763

Lauren K Russell, PT is a Physical Therapist in Private Practice in Chesapeake, Virginia. Qualified in 2011, 15 years ago. Practices with Ivyrehab Sept, LLC, a 215-clinician group and accepts Medicare assignment. Licensed in California, Maryland and Virginia.

Years since qualifying
15
Licensed in
CA, MD, VA
In the registry since
2011
Specialties on file
3
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

680 Kingsborough Sq Ste B
Chesapeake, VA 23320-4988
Phone: (757) 547-0434
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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 2305213238 (VA)
Physical Therapist Taxonomy 225100000X · Licence 23658 (MD)
Physical Therapist Taxonomy 225100000X · Licence 292097 (CA)

Record details

NPI number1992091763
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 21, 2011
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Ivyrehab Sept, Llc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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