Russell John Grant II, PT, DPT
NPI 1053135988ActiveIndividual· Physical Therapist, Orthopedic· Oceanside, CA
Physical Therapist, Orthopedic (PT, DPT) with North County Sports Medicine and Physical Therapy Corp, practicing in Oceanside, California. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1053135988 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | Yes |
| NPI issued | Nov 7, 2024 |
| Last updated in NPPES | Dec 30, 2025 |
| Certified by provider | Dec 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | 307133 | CA |
| Physical Therapist | 225100000X | 307133 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- North County Sports Medicine and Physical Therapy CorpOceanside, CA · 4 clinicians
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