Mr. Kevin T Russell, BS, MSPT
Physical Therapist in Guilford, Connecticut
1881601318- Practice location
- 111 Goose Lane, Ste 2500, Guilford, CT 06437
- Phone
- 203-453-0134
- Fax
- 203-453-0167
- Last updated
- March 23, 2012
Kevin T Russell is a Physical Therapist based in Guilford, CT. Kevin T Russell practices in Guilford, CT and has the professional credentials of BS, MSPT. The NPI Number for Kevin T Russell is 1881601318 and holds a License No. 4359 (CT). The current practice location address for Kevin T Russell is 111 Goose Lane, Ste 2500, Guilford, CT 06437 and can be reached out via phone at 203-453-0134 and via fax at 203-453-0167.
Provider Profile Details
- NPI Number
- 1881601318
- Provider Name
- Kevin T Russell
- Credential
- BS, MSPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 111 Goose Lane, Ste 2500, Guilford, CT 06437
- Phone Number
- 203-453-0134
- Fax Number
- 203-453-0167
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 1, 2006
- Last Update Date
- March 23, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Goose Lane
Ste 2500
Guilford, CT 06437 - City
- Guilford
- State
- Connecticut
- Zip
- 06437
- Phone Number
- 203-453-0134
- Fax Number
- 203-453-0167
Provider Business Mailing Address Details
- Address
- 111 Goose Lane
Suite 2500
Guilford, CT 06437 - City
- Guilford
- State
- CT
- Zip
- 06437
- Phone Number
- 203-453-0134
- Fax Number
- 203-453-0167
License Information
- License Number
- 4359
- License State
- CT
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Kevin T Russell, BS, MSPT?
The NPI number of Mr. Kevin T Russell, BS, MSPT is 1881601318. It was assigned on August 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Kevin T Russell, BS, MSPT?
Mr. Kevin T Russell, BS, MSPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 4359.
Where does Mr. Kevin T Russell, BS, MSPT practice?
The practice location is 111 Goose Lane, Ste 2500, Guilford, CT 06437. The office can be reached at 203-453-0134 (phone) or 203-453-0167 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881601318 directly on the NPPES registry website.