| Russell J Grant Ii, PT, DPT | |
|
900 Lafayette St Ste 105, Santa Clara, CA 95050-4966 | |
| (408) 293-7794 | |
| (408) 638-2503 |
| Full Name | Russell J Grant Ii |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 1 Years |
| Location | 900 Lafayette St Ste 105, Santa Clara, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053135988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 307133 (California) | Primary |
| 225100000X | Physical Therapist | 307133 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North County Sports Medicine And Physical Therapy Corp | 0446591010 | 4 |
| Golden State Orthopedics And Spine | 8224940739 | 175 |
| Provider Name | Golden State Orthopedics & Spine |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972552990 PECOS PAC ID: 8224940739 Enrollment ID: O20031103000721 |
| Provider Name | Torrey Pines Orthopaedic Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982749586 PECOS PAC ID: 8820077712 Enrollment ID: O20040714001648 |
| Provider Name | North County Sports Medicine And Physical Therapy Corp |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1306394382 PECOS PAC ID: 0446591010 Enrollment ID: O20190408002732 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell J Grant Ii, PT, DPT 900 Lafayette St Ste 105, Santa Clara, CA 95050-4966 Ph: (408) 293-7794 | Russell J Grant Ii, PT, DPT 900 Lafayette St Ste 105, Santa Clara, CA 95050-4966 Ph: (408) 293-7794 |
Mrs. Bridget M. Bouyssounouse, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Dept. #174, Santa Clara, CA 95051 Phone: 408-851-1466 | |
Karissa Taan, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1492 | |
Darlene Alexandria Remo Villatuya, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 710 Lawrence Expy Dept 174, Santa Clara, CA 95051 Phone: 408-851-1400 | |
Chelsea Bendebel, Physical Therapist Medicare: Medicare Enrolled Practice Location: 900 Lafayette St Ste 105, Santa Clara, CA 95050 Phone: 408-293-7794 | |
Dr. James Purayampallil Gipson, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1026 Monroe St, Santa Clara, CA 95050 Phone: 408-246-5861 | |
Brooke Noelle Strishock, Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Dept 174, Santa Clara, CA 95051 Phone: 408-851-4000 | |
Linda Trinh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1400 |