RUSSELL JOHN GRANT II PT, DPT
NPI 1053135988
Physical Therapist - Orthopedic in Oceanside, CA

Active since November 07, 2024Accepts Medicare Assignment
821 S TREMONT ST STE A, OCEANSIDE, CA 92054(760) 542-6666 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2025, Nov 7, 2024 (2 updates tracked since 2024).

About Russell John Grant Ii Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL JOHN GRANT II PT, DPT (NPI 1053135988) is an individual orthopedic provider in Oceanside, California, licensed in California (307133) and active in the NPI registry since November 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1053135988
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameRUSSELL JOHN GRANT IICredential: PT, DPT
Location Address821 S TREMONT ST STE AOceanside, CA 92054-4158
Mailing Address3554 Village Commercial Dr Apt 204Oceanside, CA 92056-2421
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 7, 2024
Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
NPI 1053135988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in CA · 307133
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Also ListedPhysical TherapistTaxonomy 225100000X · License 307133 (CA)
821 S TREMONT ST STE A, Oceanside, CA 92054

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Russell John Grant Ii Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961938600
PECOS Enrollment IDI20241205000933

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
821 S TREMONT ST STE A
OCEANSIDE, CA 92054
Physical Therapist
821 S TREMONT ST STE A
OCEANSIDE, CA 92054
Clinic/Center (Physical Therapy)
821 S TREMONT ST STE A
OCEANSIDE, CA 92054

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Grant's NPI number?

The NPI number for Russell Grant is 1053135988. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Where is Russell Grant located?

Russell Grant practices at 821 S Tremont St Ste A, Oceanside, CA 92054. The listed phone number is (760) 542-6666.

What is Russell Grant's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Russell Grant enrolled in Medicare?

Yes. Russell Grant is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Russell Grant was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.