Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BRETT RUSSELL PHYSICAL THERAPY AND FITNESS LLC
Active
Organization
BRETT RUSSELL PHYSICAL THERAPY AND FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT LEE RUSSELL PT,ATC,LMT (PRESIDENT)
(864) 363-8119
Entity
Organization
Contact information
Practice address
600 N HIGHWAY 25, TRAVELERS REST, SC 29690-9388
(864) 834-4995
(864) 834-4551
Mailing address
600 N HIGHWAY 25, TRAVELERS REST, SC 29690-9388
(864) 834-4995
(864) 834-4551
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9388
MEDICARE PTAN
SC
Enumeration date
10/16/2006
Last updated
10/13/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers