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

Shavonne M Russell, PTA

Individual provider Physical Therapy Assistant · NPI 1053635268

Shavonne M Russell, PTA is a Physical Therapy Assistant in Richmond, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2010
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

212 Biloxi Rd
Richmond, VA 23223-3310
Phone: (804) 326-9245
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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 2306601563 (VA)

Record details

NPI number1053635268
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 16, 2010
Last updated in NPPESMarch 16, 2010

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