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

Individual provider Physical Therapy Assistant · NPI 1972716512

Russell D Berry, LPTA is a Physical Therapy Assistant in Mangum, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
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Practice location Address checks out

1 Wickersham St
Mangum, OK 73554-9117
Phone: (580) 782-3353
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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 812 (OK)

Record details

NPI number1972716512
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESMarch 29, 2010