Individual ProviderRodney Gordon RussellPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address438 B Norwood Rd, Somerset, KY 42503-2412(606) 872-1061(606) 872-1601PECOS EnrollmentBased on the most recent information from CMS, provider Rodney Gordon Russell does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1003458027Provider TypeIndividualFull NameRussell, Rodney GordonTitleDr.CredentialPT, DPT, CERT. DNGenderMaleSole ProprietorYesEnumeration Date10/10/2019Last Updated1/27/2021Contact InformationPractice LocationPractice Address438 B Norwood Rd, Somerset, KY 42503-2412Phone(606) 872-1061FaxUnlisted FaxMailing LocationMailing Address438 B Norwood Rd, Somerset, KY 42503-2412Phone(606) 872-1601Fax(606) 678-0333Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense007855Kentucky