Russell Patrick Sarault III, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30032 Issued in MD

Practice address

132 E Pulaski Hwy
Elkton, MD 21921-6430

Phone

(443) 671-1119

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Drayer Physical Therapy of Maryland LLC

  • Physical Therapist
  • Aberdeen, MD
  • NPI 1780009001
  Medicare reassignment NPD
• Drayer Physical Therapy of Maryland LLC

  • Physical Therapist
  • Forest Hill, MD
  • NPI 1184049967
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1083832208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-497-0005",
            "fax_number": "215-629-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E PULASKI HWY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216430",
            "telephone_number": "443-671-1119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "734 E Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Villanova",
            "state": "PA",
            "postal_code": "190851325",
            "country_code": "US",
            "telephone_number": "610-964-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARAULT",
        "first_name": "RUSSELL",
        "middle_name": "PATRICK",
        "name_suffix": "III",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018622",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Sanders
• Kerry Kathleen Sanderson, SLP-CFY
• Claire Louise Santucci
• Daniel Robert Santucci
• Loretta Saponaro, M.S.
• Satoshi Ikeda MD PA
• Eddie Sy Saw, MD
• Howard L. Schapiro, DDS
• Scheiner Chiropractic LLC
• Scheiner Chiropractic LLC

• Physical Therapist in Elkton, MD
• Providers in Elkton, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.