Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angelina Russo

Individual provider Physical Therapist · NPI 1326872722

Angelina Russo is a Physical Therapist in Private Practice in Jackson, Wyoming. Qualified in 2024, 2 years ago. Practices with Excel Physical Therapy LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
2
Licensed in
WY
In the registry since
2024

Practice location Address checks out

120 W Pearl Ave
Jackson, WY 83001-8657
Phone: (307) 734-9129
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-2435 (WY)

Record details

NPI number1326872722
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Excel Physical Therapy Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson