KELLY KRISTINA RUSS DPT
NPI 1174989313
Physical Therapist - Orthopedic in Golden Valley, MN

Q: What is Kelly Russ's NPI number?

The NPI number for Kelly Russ is 1174989313. It was assigned to this individual provider in the NPPES registry on January 4, 2016.

Q: What is Kelly Russ's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Russ was last updated on January 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 04, 2016

3915 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422(612) 868-4885 Get Directions Write a Review

NPPES record last updated: January 5, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kelly Kristina Russ Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY KRISTINA RUSS DPT (NPI 1174989313) is an individual orthopedic provider in Golden Valley, Minnesota, licensed in Minnesota (10160) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1174989313

Entity TypeIndividualFemale

Primary Taxonomy2251X0800X

Provider Legal NameKELLY KRISTINA RUSSCredential: DPT

Location Address3915 GOLDEN VALLEY RDGolden Valley, MN 55422-4249

Mailing Address5450 Vagabond Ln NPlymouth, MN 55446-1309 · (763) 478-6893

Phone(612) 868-4885

Sole ProprietorNo

Enumeration DateJanuary 4, 2016

Last NPPES UpdateJanuary 5, 2016

✔ NPI 1174989313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in MN · 10160

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

3915 GOLDEN VALLEY RD, Golden Valley, MN 55422

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA BYRON GUDDAL LISW, CPRP

Social Worker

3915 GOLDEN VALLEY RD, COURAGE CENTER
GOLDEN VALLEY, MN 55422

Hennepin County (763) 520-0378

SHANE POCHANT

Physical Therapist

3915 GOLDEN VALLEY RD
MINNEAPOLIS, MN 55422

Hennepin County (612) 775-2455

NICOLE KRAEMER PT

Physical Therapist

3915 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55422

Hennepin County (763) 520-0540

JUSTIN E BRANK PTA

Physical Therapy Assistant

3915 GOLDEN VALLEY RD, COURAGE CENTER
GOLDEN VALLEY, MN 55422

Hennepin County (763) 588-0811

JANICE PATRICIA KEHLER PT MSC MA

Physical Therapist

3915 GOLDEN VALLEY RD, COURAGE CENTER
GOLDEN VALLEY, MN 55422

Hennepin County (763) 588-0811

JESSICA A CARR PTA

Physical Therapy Assistant

3915 GOLDEN VALLEY RD, COURAGE CENTER
GOLDEN VALLEY, MN 55422

Hennepin County (763) 520-0359

GEORGETTE R DANCZYK M.A., CCC-SLP

Speech-Language Pathologist

3915 GOLDEN VALLEY RD, COURAGE CENTER
GOLDEN VALLEY, MN 55422

Hennepin County (763) 588-0811

MS. AMBER LYNN WACEK P.T.

Physical Therapist

3915 GOLDEN VALLEY RD
MINNEAPOLIS, MN 55422

Hennepin County (763) 588-0811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Russ's NPI number?

The NPI number for Kelly Russ is 1174989313. It was assigned to this individual provider in the NPPES registry on January 4, 2016.

Where is Kelly Russ located?

Kelly Russ practices at 3915 Golden Valley Rd, Golden Valley, MN 55422. The listed phone number is (612) 868-4885.

What is Kelly Russ's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Kelly Russ was last updated on January 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.