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

Logan Russell, PT, DPT

Individual provider Physical Therapist · NPI 1407472517

Logan Russell, PT, DPT is a Physical Therapist in Roanoke, Virginia. Licensed in Virginia. Registered with an NPI since 2020.

Licensed in
VA
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3656 Peters Creek Road Ext SW # B
Roanoke, VA 24018-1512
Phone: (540) 798-1579
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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 2305207787 (VA)

Record details

NPI number1407472517
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 24, 2020
Last updated in NPPESJune 24, 2020
Certification dateJune 24, 2020
Mailing address3656 Peters Creek Road Ext Sw # B, Roanoke, VA 24018-1512

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