Shannon L Russell
CHAMPION PERFORMANCE PHYSICAL THERAPY, PC


Address: 12617 Ridgeline Blvd, Cedar Park, TX 78613-1606
Phone: 5129960441

Shannon L Russell (NPI# 1346647351, PAC ID# 9537418645) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1346647351
PAC ID by PECOS 9537418645
Professional Enrollment ID I20180823000832
Full Name Shannon L Russell
Organization Legal Name CHAMPION PERFORMANCE PHYSICAL THERAPY, PC
Address 12617 Ridgeline Blvd
Cedar Park
TX 78613-1606
Phone Number 5129960441
Gender F
Graduation Year 2013
Primary Specialty PHYSICAL THERAPY
Group Practice PAC ID 1153334834
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
12617 Ridgeline Blvd, Cedar Park, TX 78613-1606 5129960441 CHAMPION PERFORMANCE PHYSICAL THERAPY, PC

Organization Information

Organization Legal Name CHAMPION PERFORMANCE PHYSICAL THERAPY, PC
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Christie J Powell Physical Therapy Champion Performance Physical Therapy, PC 12617 Ridgeline Blvd, Cedar Park, TX 78613-1606
Robert J Borromeo Physical Therapy Champion Performance Physical Therapy, PC 12617 Ridgeline Blvd, Cedar Park, TX 78613-1606

Office Location

Street Address 12617 RIDGELINE BLVD
City CEDAR PARK
State TX
Zip 78613-1606

Physicians in the same location

Name Specialty Organization Address
Christie J Powell Physical Therapy Champion Performance Physical Therapy, PC 12617 Ridgeline Blvd, Cedar Park, TX 78613-1606
Robert J Borromeo Physical Therapy Champion Performance Physical Therapy, PC 12617 Ridgeline Blvd, Cedar Park, TX 78613-1606

Physicians in the same zip code

Name Specialty Organization Address
Samira F Alejos Optometry Optometric Associates of Texas P.a. 11200 Lakeline Dr, Suite 5, Cedar Park, TX 78613
Brenda Katz Cohen Podiatry Precision Podiatry PC 1103 Cypress Creek, Suite 101, Cedar Park, TX 78613
Natalia Temboni Caraballo Optometry Optometric Associates of Texas P.a. 11200 Lakeline Dr, Suite 5, Cedar Park, TX 78613
Jonathan G Smedley Podiatry Precision Podiatry PC 1103 Cypress Creek, Suite 101, Cedar Park, TX 78613
Jeffrey Raymond Cohen Podiatry Precision Podiatry PC 1103 Cypress Creek, Suite 101, Cedar Park, TX 78613
Ryan Patrick Shock Podiatry Precision Podiatry PC 1103 Cypress Creek, Suite 101, Cedar Park, TX 78613
Quang D Nguyen Optometry Optometric Associates of Texas P.a. 11200 Lakeline Dr, Suite 5, Cedar Park, TX 78613
Angela M Adkins Optometry 1335 E Whitestone Blvd, E150, Cedar Park, TX 78613-0011
Matthew Cody Lubeck Optometry Lakeline Eyecare Pllc 11200 Lakeline Mall Dr, Suite E5, Cedar Park, TX 78613-1504
Delfina Alexander Nurse Practitioner Rediclinic Austin LLC 170 E Whitestone Blvd, Cedar Park, TX 78613-1900
Find all physicians in zip 78613

Competitor

Search similar physicians

City CEDAR PARK
Zip Code 78613
Specialty PHYSICAL THERAPY
City + Specialty CEDAR PARK + PHYSICAL THERAPY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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