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

Mr. Brian Scott Russ, PTCOMT

Individual provider Physical Therapist · NPI 1417056821

Mr. Brian Scott Russ, PTCOMT is a Physical Therapist in Private Practice in Lake Worth, Florida. Graduated from State University of New York at Buffalo School of Medicine in 1999, 27 years ago. Practices with Gold Coast Physical Therapy Associates LLC, a 26-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
27
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
FL
In the registry since
2006
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Practice location Address checks out

6169 S Jog Rd Ste A11
Lake Worth, FL 33467-6586
Phone: (561) 432-0111
Fax: (561) 432-1075
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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 PT21672 (FL)

Record details

NPI number1417056821
Entity typeIndividual (Type 1)
GenderMale
Credentials PTCOMT
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020
Mailing addressPo Box 290370, Suite A-11, Ft Lauderdale, FL 33329-0370

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Gold Coast Physical Therapy Associates Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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