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MR. RUSSELL D GANNON MSPT
NPI 1376643882
Physical Therapist - Orthopedic in Birmingham, AL

Active since September 24, 2006
616 GADSDEN HWY, SUITE A, BIRMINGHAM, AL 35235(205) 833-0881(205) 833-1190 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Russell D Gannon Mspt NPPES

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

MR. RUSSELL D GANNON MSPT (NPI 1376643882) is an individual orthopedic provider in Birmingham, Alabama, licensed in Alabama (PTH3502) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1376643882
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameMR. RUSSELL D GANNONCredential: MSPT
Location Address616 GADSDEN HWY, SUITE ABirmingham, AL 35235-2501
Mailing Address548 Twin Branch DrBirmingham, AL 35226-2342 · (205) 823-4236
Phone(205) 833-0881
Fax(205) 833-1190
Sole ProprietorNo
Enumeration DateSeptember 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376643882 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 AL · PTH3502
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.
616 GADSDEN HWY, Birmingham, AL 35235
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Other Identifiers 1

Medicare ID-Type Unspecified01-4518AL

Other Providers at the Same Location NPPES 2

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

PHYSIOTHERAPY ASSOCIATES INC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
616 GADSDEN HWY, SUITE A
BIRMINGHAM, AL 35235
Jefferson County (205) 833-0881
MR. JOSEPH BRIAN DUFFIN LPTA
Physical Therapy Assistant
616 GADSDEN HWY, A
BIRMINGHAM, AL 35235
Jefferson County (205) 833-0881

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 Russell Gannon's NPI number?

The NPI number for Russell Gannon is 1376643882. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Russell Gannon located?

Russell Gannon practices at 616 Gadsden Hwy Suite A, Birmingham, AL 35235. The listed phone number is (205) 833-0881.

What is Russell Gannon'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 Russell Gannon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.