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

Mr. Michael D Russell, PT, DPT, CSCS

Individual provider Physical Therapist · NPI 1003012980

Mr. Michael D Russell, PT, DPT, CSCS is a Physical Therapist in Private Practice in Henderson, Nevada. Qualified in 2007, 19 years ago. Practices with Elevation Physical Therapy, LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
19
Licensed in
NV
In the registry since
2007
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

3005 W Horizon Ridge Pkwy Ste 101
Henderson, NV 89052-5030
Phone: (702) 840-2500
Fax: (725) 234-1515
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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 2143 (NV)

Record details

NPI number1003012980
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , CSCS
Sole proprietorNo
NPI enumeratedJune 26, 2007
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Elevation Physical Therapy, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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