Scott Kevin Russell, M.P.T.
NPI 1285742742ActiveIndividual· Physical Therapist· Los Banos, CA
Physical Therapist (M.P.T.) with Sport and Rehab Physical Therapy Incorporated, practicing in Los Banos, California. Medicare paid $63,614 for services to 82 patients in 2024.
Overview
| NPI | 1285742742 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.P.T. |
| Sole proprietor | No |
| NPI issued | Aug 26, 2006 |
| Last updated in NPPES | Jan 27, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT23597 | 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) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 82 |
|---|---|
| Services billed | 3,823 across 14 procedure codes |
| Paid by Medicare | $63,614 |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Sport and Rehab Physical Therapy IncorporatedLos Banos, CA · 6 clinicians
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All 20 physical therapists in Los Banos · All physical therapists in California