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

Shaun Douglas Russell, DPT

Individual provider Physical Therapist · NPI 1366154155

Shaun Douglas Russell, DPT is a Physical Therapist in Encino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
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

16830 Ventura Blvd Ste 150
Encino, CA 91436-1722
Phone: (818) 986-1203
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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 303246 (CA)

Record details

NPI number1366154155
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedDecember 23, 2022
Last updated in NPPESDecember 23, 2022
Certification dateDecember 23, 2022

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