Scott Alfonso Russell

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22163 Issued in CA

Practice address

23560 Crenshaw Blvd
Ste 103
Torrance, CA 90505-5233

Phone

(310) 784-2366

Fax

(310) 517-0889

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Life Physical Therapy Services PCGroup PAC ID 7214207125, 94 clinicians

Practice addresses (Care Compare)

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.

• New Life Physical Therapy Services, PC

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1285160788
  Medicare reassignment Care Compare group NPD
• Sports and Spine Orthopaedics

  • Orthopaedic Surgery Physician
  • Torrance, CA
  • NPI 1811936743
  Medicare reassignment NPD
• South Bay Orthopaedic Specialists Medical Center a Medical Partnership

  • Orthopaedic Surgery Physician
  • Torrance, CA
  • NPI 1396708988
  NPD (past)
• Torrance Health Association Inc

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1083903124
  NPD (past)
• Torrance Memorial Medical Center

  • Skilled Nursing Facility
  • Torrance, CA
  • NPI 1740268713
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386724656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23560 CRENSHAW BLVD",
            "address_2": "STE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055233",
            "telephone_number": "310-784-2366",
            "fax_number": "310-517-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23560 CRENSHAW BLVD",
            "address_2": "STE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055233",
            "telephone_number": "310-784-2366",
            "fax_number": "310-517-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SCOTT",
        "middle_name": "ALFONSO",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ02708Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marshall David Rule, PT, DPT
• Deanna Rungo
• Justine M Ruotolo
• Stefanie Lai Rushatakankovit, LEP, BCBA
• Russell Hosaka OD Inc a Professional Corporation
• Kevin Russo
• Lyric Noelle Russo
• Allan M Rutenberg, RD
• Ruth Becker DDS Ms Inc
• Sarah Ruther

• Physical Therapist in Torrance, CA
• Providers in Torrance, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.