Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexander Geoffrey Russell, PT, DPT, CSCS

Individual provider Physical Therapist · NPI 1750156956

Alexander Geoffrey Russell, PT, DPT, CSCS is a Physical Therapist in Private Practice in Avon, Connecticut. Qualified in 2023, 3 years ago. Practices with Madison Rehabilitation Center Inc, a 7-clinician group and accepts Medicare assignment. Licensed in Connecticut and Massachusetts.

Years since qualifying
3
Licensed in
CT, MA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

60 Market St Ste 130
Avon, CT 06001-4282
Phone: (860) 703-8505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14282 (CT)
Physical Therapist Taxonomy 225100000X · Licence 27263 (MA)

Record details

NPI number1750156956
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , CSCS
Sole proprietorNo
NPI enumeratedNovember 17, 2023
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Madison Rehabilitation Center Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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