Russell S. Hanks, PHYSCIAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-034720 Issued in AZ

Practice address

2403 N Pebble Creek Pkwy
Goodyear, AZ 85395-9042

Phone

(480) 737-1795

Fax

(214) 775-4483

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Therapy IncGroup PAC ID 0941228548, 44 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 and National Provider Directory roles.

• Advanced Physical Therapy Inc

  • Physical Therapist
  • Anchorage, AK
  • NPI 1437214459
  Medicare reassignment Care Compare group NPD
• Anchorage Neurosurgical Associates Inc

  • Neurological Surgery Physician
  • Anchorage, AK
  • NPI 1194775379
  Medicare reassignment NPD
• Humpal Physical Therapy, P.C.

  • Physical Therapist
  • Corpus Christi, TX
  • NPI 1871525287
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1356366389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 N PEBBLE CREEK PKWY",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959042",
            "telephone_number": "480-737-1795",
            "fax_number": "214-775-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 N PEBBLE CREEK PKWY",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959042",
            "telephone_number": "480-737-1795",
            "fax_number": "214-775-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKS",
        "first_name": "RUSSELL",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "PHYSCIAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-034720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427395-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80835T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Hampton, LCSW
• Valerie Denise Hampton, PMHNP-BC
• Christopher Han, DDS
• Elizabeth Hancock, COTA/L
• Loriel Handlen, PA-C
• Abboud Hanna, M.D.
• Deserae Hanna, BCBA, LBA
• Shelley A Hanson, LPC, LMFT
• Lori Lynne Hardacker, PA
• Lee William Harding, D.D.S.

• Physical Therapist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.