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DERICK M RUSSELL MPT
NPI 1710907480
Physical Therapist - Orthopedic in Oak Park, IL

Active since July 19, 2006
6326 WEST ROOSEVELT RD, OAK PARK, IL 60304(708) 691-3562(708) 660-9356 Get Directions Write a Review

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

About Derick M Russell Mpt NPPES

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

DERICK M RUSSELL MPT (NPI 1710907480) is an individual orthopedic provider in Oak Park, Illinois and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1710907480
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameDERICK M RUSSELLCredential: MPT
Location Address6326 WEST ROOSEVELT RDOak Park, IL 60304
Mailing Address1101 Circle AveForest Park, IL 60130-2326 · (708) 691-3562 · Fax (708) 660-9356
Phone(708) 691-3562
Fax(708) 660-9356
Sole ProprietorYes
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710907480 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
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.
6326 WEST ROOSEVELT RD, Oak Park, IL 60304
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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 Derick Russell's NPI number?

The NPI number for Derick Russell is 1710907480. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Derick Russell located?

Derick Russell practices at 6326 West Roosevelt Rd, Oak Park, IL 60304. The listed phone number is (708) 691-3562.

What is Derick Russell'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 Derick Russell 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.