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

Russell Overy, DPT

Individual provider Sports Physical Therapist · NPI 1407027907

Russell Overy, DPT is a Physical Therapist in Private Practice in Boulder, Colorado. Qualified in 2004, 22 years ago. Practices with Mend PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
22
Licensed in
CO
In the registry since
2008
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

311 Mapleton Ave
Boulder, CO 80304-3979
Phone: (303) 544-5700
Fax: (303) 544-5710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X · Licence 8604 (CO)

Record details

NPI number1407027907
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 12, 2008
Last updated in NPPESMarch 12, 2008
Mailing address311 Mapleton Ave, Boulder, CO 80304-3979

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Mend Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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