IndividualActive
Timothy Russell
NPI 1013264530 · Physical Therapist · Royal Palm Beach, FL
Provider details
- NPI number
- 1013264530
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PT27587 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11482 Okeechobee Blvd
Suite 2
Royal Palm Beach, FL 33411-8735
Phone: (561) 432-0111
Fax: (561) 432-1075
Street-level locationGet directions
Mailing address
6169 S Jog Rd
Lake Worth, FL 33467-6579
Registry dates
- Enumerated
- 2012-08-15
- Last updated
- 2020-05-25
- Certified
- 2020-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.