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

Individual provider Physical Therapy Assistant · NPI 1225572019

Russell Pennington is a Physical Therapy Assistant in Cottage Grove, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2016
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Practice location Address checks out

146 Village Dr
Cottage Grove, OR 97424-9544
Phone: (541) 228-4086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 09348 (OR)

Record details

NPI number1225572019
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 13, 2016
Last updated in NPPESDecember 13, 2016

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