| Mr Scott Alfonso Russell, | |
|
23560 Crenshaw Blvd, Ste 103, Torrance, CA 90505-5233 | |
| (310) 784-2366 | |
| (310) 517-0889 |
| Full Name | Mr Scott Alfonso Russell |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 30 Years |
| Location | 23560 Crenshaw Blvd, Torrance, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386724656 | NPI | - | NPPES |
| ZZZ02708Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT22163 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New Life Physical Therapy Services Pc | 7214207125 | 93 |
| Provider Name | Sports And Spine Orthopaedics |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811936743 PECOS PAC ID: 8224028378 Enrollment ID: O20100728000322 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Scott Alfonso Russell, 23560 Crenshaw Blvd, Ste 103, Torrance, CA 90505-5233 Ph: (310) 784-2366 | Mr Scott Alfonso Russell, 23560 Crenshaw Blvd, Ste 103, Torrance, CA 90505-5233 Ph: (310) 784-2366 |
Jessica Dimaunahan Sison, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21825 Hawthorne Blvd, Torrance, CA 90503 Phone: 310-542-5878 | |
Thomas James Cipolla, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2355 Crenshaw Blvd Ste 130, Torrance, CA 90501 Phone: 310-539-8800 Fax: 424-203-8389 | |
Henrey Dwight Kelsey, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3500 Lomita Blvd, Ste M100, Torrance, CA 90505 Phone: 310-325-7404 Fax: 310-325-4971 | |
Dr. Noelle Gilson Budrovich, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2842 Sepulveda Blvd, Torrance, CA 90505 Phone: 310-325-0800 Fax: 310-325-7705 | |
Jennifer B. Stahl, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3858 W Carson St, Suite 121, Torrance, CA 90503 Phone: 310-543-9333 Fax: 310-405-0954 | |
Greg Edward Petersen, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3878 W Carson St, Suite 100, Torrance, CA 90503 Phone: 310-543-4655 Fax: 310-543-1743 | |
Torrance Orthopedic Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23456 Hawthorne Blvd, Suite 300 B, Torrance, CA 90505 Phone: 310-540-7381 Fax: 310-316-1788 |