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

Mr. Russell S. Hanks, PHYSCIALTHERAPIST

Individual provider Physical Therapist · NPI 1356366389

Mr. Russell S. Hanks, PHYSCIALTHERAPIST is a Physical Therapist in Private Practice in Goodyear, Arizona. Qualified in 1995, 31 years ago. Practices with Advanced Physical Therapy Inc, a 43-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
31
Licensed in
AZ
In the registry since
2006
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Practice location Address checks out

2403 N Pebble Creek Pkwy
Goodyear, AZ 85395-9042
Phone: (480) 737-1795
Fax: (214) 775-4483
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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 LPT-034720 (AZ)

Record details

NPI number1356366389
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSCIALTHERAPIST
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Advanced Physical Therapy Inc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Goodyear