Nicole Diane Russell, PT, DPT, CWS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1279928 Issued in TX

Practice address

727 Anthem LN
New Braunfels, TX 78132-5330

Phone

(512) 569-4110

NPI assigned

Jul 3, 2024

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

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": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1770329328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR # 23130",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "512-569-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 ANTHEM LN",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781325330",
            "telephone_number": "512-569-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "NICOLE",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CWS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1279928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Phillis Rude, DDS
• Jonathan Bryce Rudolph
• Joseph Anthony Ruiz, DPT
• Sandra Eliza Ruiz, MS CCC-SLP
• Jana Rupnow, LPC
• Dennis K Rust, RPH
• Jamie Rutledge, PT, DPT
• Daniel Patrick Obelenis Ryan, DDS
• Sherry K Ryan, OTA/L
• Liliana J. Saap, M.D.

• Physical Therapist in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.