IndividualActive
Russell Cantrell, M.D.
NPI 1023097904 · Physical Medicine & Rehabilitation Physician · Saint Louis, MO
Provider details
- NPI number
- 1023097904
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 103654 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1001 S. Kirkwood Road
Suite 120
Saint Louis, MO 63122-7250
Phone: (314) 966-8887
Fax: (314) 966-3869
Street-level locationGet directions
Mailing address
Po Box 843857
Kansas City, MO 64184-3857
Registry dates
- Enumerated
- 2006-01-10
- Last updated
- 2017-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.