Russell Carroll Allen Jr., PT, DPT
NPI 1124851803ActiveIndividual· Physical Therapist· Auburn, ME
Physical Therapist (PT, DPT) with Greater Brunswick Physical Therapy PA, practicing in Auburn, Maine. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1124851803 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Aug 20, 2024 |
| Last updated in NPPES | Aug 25, 2024 |
| Certified by provider | Aug 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT6934 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (ME) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Greater Brunswick Physical Therapy PABelfast, ME · 19 clinicians
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