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

Penny Russ, PTA

Individual provider Physical Therapy Assistant · NPI 1134278062

Penny Russ, PTA is a Physical Therapy Assistant in Streator, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
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

205 S Park St
Streator, IL 61364-4448
Phone: (815) 673-1770
Fax: (815) 673-1772
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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 (IL)

Record details

NPI number1134278062
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 9, 2007
Last updated in NPPESJuly 8, 2007

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