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

Mary Michelle Russell, PT

Individual provider Physical Therapist · NPI 1083711808

Mary Michelle Russell, PT is a Physical Therapist in Orinda, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

1 Bates Blvd Ste 100
Orinda, CA 94563-2800
Phone: (925) 254-8755
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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 PT LICENSE 10486 (CA)

Record details

NPI number1083711808
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESNovember 30, 2012

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