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

Mr. Russell Medina Gonzales, PT

Individual provider Physical Therapist · NPI 1740490671

Mr. Russell Medina Gonzales, PT is a Physical Therapist in Joplin, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
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

214 W 5th St Ste D-E
Joplin, MO 64801-2501
Phone: (417) 782-2917
Fax: (417) 782-7038
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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 2005028005 (MO)

Record details

NPI number1740490671
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedMay 22, 2007
Last updated in NPPESJuly 8, 2007

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