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

Mr. Scott Alfonso Russell

Individual provider Physical Therapist · NPI 1386724656

Mr. Scott Alfonso Russell is a Physical Therapist in Private Practice in Torrance, California. Qualified in 1996, 30 years ago. Practices with New Life Physical Therapy Services PC, a 94-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

23560 Crenshaw Blvd Ste 103
Torrance, CA 90505-5233
Phone: (310) 784-2366
Fax: (310) 517-0889
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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 PT22163 (CA)

Record details

NPI number1386724656
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice New Life Physical Therapy Services Pc — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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