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

Individual provider Physical Therapist · NPI 1548817273

Nicholas Andrew Russell, DPT is a Physical Therapist in Private Practice in Shreveport, Louisiana. Qualified in 2019, 7 years ago. Practices with Lsuhsc-S School of Allied Health, a 23-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
7
Licensed in
LA
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1450 Claiborne Ave
Shreveport, LA 71103-4204
Phone: (318) 813-2970
Fax: (318) 813-2981
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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 10340 (LA)

Record details

NPI number1548817273
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 19, 2019
Last updated in NPPESAugust 19, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lsuhsc-S School Of Allied Health — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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