Daniel Stark Russon, DPT, PT
Physical Therapist · Kimberly, ID
Daniel Stark Russon, DPT, PT is a physical therapist with a practice address in Kimberly, Idaho, and NPI 1962242669, issued on May 29, 2024. Check the license (Idaho PT-9150, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Daniel Stark Russon
- Credential
- DPT, PT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- PT-9150 ID
Self-reported in NPPES; status is on the state search - Practice location
- 931 Center St W Ste C, Kimberly, ID 83341
- Phone
- (208) 423-9999
- Enumerated
- May 29, 2024
- Record last updated
- Jun 24, 2025
- Fax
- (208) 423-9998
- Medicare enrollment
- Enrolled (PECOS I20240802001270); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 931 Center St W Ste C
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Michelle Smith, DPT, PTPhysical Therapist1083305296
- Reagan Ward, DPTPhysical Therapist1114374741
- Ashlyn Zoon, DPTPhysical Therapist1497529333
Verify Daniel Stark Russon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license PT-9150Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Wright Physical Therapy Limited PartnershipKimberly, ID
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
6 physical therapist records list a practice address in Kimberly
They are 6 of the 46 NPPES records with a practice address in Kimberly, and 1,768 physical therapist records in Idaho.
All 6 in Kimberly → All 1,768 in Idaho → Every provider in Kimberly →
Other physical therapist records in Idaho
- Christopher Aaron, PT, DPT, LAT, ATCNampa, ID1730712159
- Jason Aberg, DPTBoise, ID1982611836
- Janelle Acheson, PT, DPTPost Falls, ID1902381049
- Jerrod AckermanBoise, ID1487067005
- Susan Ackerman, DPTNampa, ID1437534781
- Austin Adams, DPTBoise, ID1356953301
- Kendall Adams, DPTIdaho Falls, ID1821598178
- Mark Adams, PTBoise, ID1659014926
- Robert Adams, MPTBoise, ID1881775633
- Kelly AdamsonBoise, ID1952781304
Common questions
What is Daniel Stark Russon, DPT, PT's NPI number?
Daniel Stark Russon, DPT, PT's National Provider Identifier (NPI) is 1962242669, issued on May 29, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Daniel Stark Russon, DPT, PT located?
The NPPES record lists a practice address at 931 Center St W Ste C, Kimberly, ID, 83341. Phone: (208) 423-9999. Providers update this record themselves, so call before visiting.
How can I verify Daniel Stark Russon, DPT, PT's license?
NPPES lists Idaho license number PT-9150, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.