Carly Russo Whittaker, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1315328 Issued in TX

Practice address

2425 Victory Ave Apt 264
Dallas, TX 75219-7720

Phone

(610) 737-8046

NPI assigned

Feb 8, 2019

Last updated

Feb 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One RehabGroup PAC ID 7618208752, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• One Rehab

  • Rehabilitation Clinic/Center
  • Richardson, TX
  • NPI 1952954240

  Physical Therapist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1316402894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 VICTORY AVE APT 264",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752197720",
            "telephone_number": "610-737-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 VICTORY AVE APT 264",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752197720",
            "telephone_number": "610-737-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "CARLY",
        "middle_name": "RUSSO",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1315328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Louise Whitney, N.P.
• Stewart Whitney
• Tia Cee Whitney
• Johanna Jean Whitson, AU.D.
• Elizabeth Lynn Whitt
• Elaine P. Whittaker, M.D.
• Jennifer Whitted
• Anthony R Whittemore, MD PHD
• Brett Anthony Whittemore, MD
• Charles Wesley Whitten, MD

• Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.