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

Mrs. Theresa Delores Russell, PTA

Individual provider Physical Therapy Assistant · NPI 1023372992

Mrs. Theresa Delores Russell, PTA is a Physical Therapy Assistant in Peyton, Colorado. Licensed in Colorado. Registered with an NPI since 2012.

Licensed in
CO
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

11577 Rio Secco Rd
Peyton, CO 80831-4031
Phone: (757) 450-5773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 12203 (CO)

Record details

NPI number1023372992
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 26, 2012
Last updated in NPPESJune 26, 2012

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