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

Susanna Russell, MPT

Individual provider Physical Therapist · NPI 1093016610

Susanna Russell, MPT is a Physical Therapist in Los Banos, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

312 W J St
Los Banos, CA 93635-4073
Phone: (209) 827-6178
Fax: (209) 827-6179
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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 23511 (CA)

Record details

NPI number1093016610
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorNo
NPI enumeratedNovember 12, 2010
Last updated in NPPESNovember 12, 2010

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