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

Mr. Scott Kevin Russell, MPT

Individual provider Physical Therapist · NPI 1285742742

Mr. Scott Kevin Russell, MPT is a Physical Therapist in Private Practice in Los Banos, California. Qualified in 1998, 28 years ago. Practices with Sport and Rehab Physical Therapy Incorporated, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
28
Licensed in
CA
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

312 W J St
Los Banos, CA 93635-4073
Phone: (209) 827-6178
Fax: (209) 827-6179
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT23597 (CA)

Record details

NPI number1285742742
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedAugust 26, 2006
Last updated in NPPESJanuary 27, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Sport And Rehab Physical Therapy Incorporated — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Los Banos