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

Russell Lawrence Gourlie, DPT

Individual provider Physical Therapist · NPI 1649618224

Russell Lawrence Gourlie, DPT is a Physical Therapist in Private Practice in Las Vegas, Nevada. Qualified in 2013, 13 years ago. Practices with Affiliated Physical Therapy, a 45-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
13
Licensed in
NV
In the registry since
2013
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

2650 N Tenaya Way Ste 180
Las Vegas, NV 89128-1110
Phone: (702) 240-2952
Fax: (702) 243-0482
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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 2872 (NV)

Record details

NPI number1649618224
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 5, 2013
Last updated in NPPESJune 5, 2013

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Affiliated Physical Therapy — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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