DR. JACOB AARON RUSSELL PT, DPT
NPI 1356228142
Physical Therapist in Benton, IL
About Dr. Jacob Aaron Russell Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACOB AARON RUSSELL PT, DPT (NPI 1356228142) is an individual physical therapist in Benton, Illinois, licensed in Illinois (070029347) and active in the NPI registry since August 2025. He is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jacob Aaron Russell Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BENTON, IL 62812
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 Jacob Russell's NPI number?
The NPI number for Jacob Russell is 1356228142. It was assigned to this individual provider in the NPPES registry on August 21, 2025.
Where is Jacob Russell located?
Jacob Russell practices at 1104 W Main St, Benton, IL 62812. The listed phone number is (618) 439-3399.
What is Jacob Russell's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jacob Russell enrolled in Medicare?
Yes. Jacob Russell is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jacob Russell was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.