Jessica Russell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15461-24 Issued in WI

Practice address

4327 Nakoma Rd
Madison, WI 53711-3757

Phone

(608) 640-4100

NPI assigned

Feb 21, 2025

Last updated

Feb 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Treuthardt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1457157315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 LEEWARD LN",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535753455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4327 NAKOMA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537113757",
            "telephone_number": "608-640-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JESSICA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15461-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "TREUTHARDT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carolyn Russell
• Clare Alexandria Russell, PHARMD
• Douglas C Russell, MD
• Elliott Russell
• Gabrielle Renee Russell, PHARMD, RPH
• Kristina Marie Russell, P.T.
• Molly Anne Russell, FNP
• Sydney Alexis Russell
• Thomas Morison Russell, M.D.
• Kathy J Russeth, M.D.

• Physical Therapist in Madison, WI
• Providers in Madison, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.