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

Reannon Russell, DPT

Individual provider Physical Therapist · NPI 1053669721

Reannon Russell, DPT is a Physical Therapist in Private Practice in Melbourne, Arkansas. Qualified in 2012, 14 years ago. Practices with Gross Therapy Services Inc, a 45-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
14
Licensed in
AR
In the registry since
2012
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

295 Jumbo Rd
Melbourne, AR 72556-9175
Phone: (870) 373-0532
Fax: (870) 895-2626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3513 (AR)

Record details

NPI number1053669721
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 28, 2012
Last updated in NPPESAugust 28, 2012
Mailing address295 Jumbo Rd, Melbourne, AR 72556-9175

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Gross Therapy Services Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Melbourne