Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB AARON RUSSELL, PT, DPT
ActiveDR. JACOB AARON RUSSELL, PT, DPT is a Physical Therapy Assistant healthcare provider located in BENTON, Illinois. NPI 1356228142 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BENTON, IL
Registration Details
- NPI Number
- 1356228142
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2025 (0.80083426723262 yrs)
- Last Updated
- Aug 28, 2025
- License
-
070029347 (IL)
Practice Information
- Address
-
1104 W MAIN STBENTON, IL, 628121565Browse IL providers · Browse ZIP 62812
- Phone
- 6184393399
- Fax
- 6184394801
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BENTON, IL
| Name | Credential | NPI |
|---|---|---|
| MR. RANDALL WAYNE LAWRENCE | PT | 1568414803 |
| MRS. LOVELIA CABRERA HORN | PT | 1487909446 |
| COLIN JACOB OVERSTREET | DPT | 1720335458 |
| PATCHOLO YAP PAGLINAWAN | PT | 1386179851 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.