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Madison Physical Therapy Services

NPI 1508879883ActiveOrganization· Physical Therapist· Madison, AL

Physical Therapist in Madison, Alabama, registered in NPPES in August 2006. The authorized official on file is Victor Dale Russell, R.P.T., President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1508879883
StatusActive
Entity typeOrganization
NPI issuedAug 15, 2006
Last updated in NPPESJun 8, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000XPTH2852AL
Physical Therapist225100000XPTH3369AL
Physical Therapist225100000XPTH255AL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (AL)

Medicare sources and data years

Other Physical Therapist providers in Madison

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