Brett Russell Physical Therapy and Fitness LLC
NPI 1083704225ActiveOrganization· Physical Therapist· Travelers Rest, SC
Physical Therapist in Travelers Rest, South Carolina, registered in NPPES in October 2006. The authorized official on file is Brett Lee Russell, PT,ATC,LMT, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083704225 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2006 |
| Last updated in NPPES | Oct 13, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2005 | SC |
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 Part B Supplier - Clinic/Group Practice (SC) |
|---|
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