Alexander Geoffrey Russell, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14282 Issued in CT

Practice address

60 Market St Ste 130
Avon, CT 06001-4282

Phone

(860) 703-8505

NPI assigned

Nov 17, 2023

Last updated

Jun 26, 2024By the provider in NPPES

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 MA, CT2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madison Rehabilitation Center IncGroup PAC ID 8628051299, 6 clinicians

Comprehensive Orthopedics and Musculoskeletal Care LLCGroup PAC ID 9830097864, 27 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.19 of 100Reported as group

Quality

86.04

Improvement activities

40

Cost

76.23

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Orthopedics & Musculoskeletal Care LLC

  • Orthopaedic Surgery Physician
  • Wallingford, CT
  • NPI 1790844330
  Medicare reassignment Care Compare group NPD
• Madison Rehabilitation Center Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Madison, CT
  • NPI 1750350245

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ivyrehab Connecticut, Inc.

  • Physical Therapist
  • Old Greenwich, CT
  • NPI 1265799365
  Medicare reassignment NPD
• Performance Rehabilitation of Western New England LLC

  dba ATI Physical Therapy of Western Massachusetts

  • Physical Therapist
  • West Springfield, MA
  • NPI 1710919063
  Medicare reassignment NPD
• Performance Rehabilitation of Western New England LLC

  dba ATI Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Wilbraham, MA
  • NPI 1376140566

  Physical Therapist

  NPD
• Performance Rehabilitation of Western New England LLC

  dba Performance Rehabilitation PC

  • Occupational Therapist
  • East Longmeadow, MA
  • NPI 1740345818

  Physical Therapist

  NPD

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1750156956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MARKET ST STE 130",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MARKET ST STE 130",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014282",
            "telephone_number": "860-703-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ALEXANDER",
        "middle_name": "GEOFFREY",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-17",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "27263",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Rubinow, PHARM D
• Jennifer Rucci, MA CCC SLP
• Margaret M Rudin, APRN
• Betty Ann Rudolph, LCSW
• Eric F Ruiz, DDS
• Rust Homecare Services LLC (ComForcare Senior Services)
• Sharon Vermilye Ruvane, CCC-SLP
• Rachel Ryznic-Matteson, OTR
• Veronica Elyse Saavedra, OTR/L
• Isis Sacramento Ferreira, M.D.

• Physical Therapist in Avon, CT
• Providers in Avon, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.