RUSSELL J BODURTHA (PHYSICAL THERAPIST) – Physical Therapist, NPI 1033629092

Physical Therapist

RUSSELL J BODURTHA (PHYSICAL THERAPIST) is a healthcare provider. based in Wolcott, Connecticut. specializing in Physical Therapist. They hold the professional credentials PHYSICAL THERAPIST. They hold a License No. 11630 (CT). The NPI Number for RUSSELL J BODURTHA (PHYSICAL THERAPIST) is 1033629092

Main info

Male

9 Years Of Experience

Accepts Medicare Assignment

Name

RUSSELL J BODURTHA (PHYSICAL THERAPIST)

NPI

1033629092

Phone

Not provided

Address

465 WOLCOTT RD

Enumeration Date

4 October 2017

Last Update Date

4 October 2017

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8604042924

Graduation Year

2017 (9 years ago)

PAC ID

2769758408

Group Practice PAC ID

7315020005

Professional Enrollment ID

I20171024001892

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience30

Completeness75

Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for RUSSELL J BODURTHA (PHYSICAL THERAPIST)

465, Wolcott Road, Wolcott, New Haven County, Connecticut, 06716, United States
WOLCOTT, CT 067162613
Phone:
Type: Mailing
292, Spielman Highway, Burlington, Hartford County, Connecticut, 06013, United States
BURLINGTON, CT 060131727
Phone: (860) 404-2924
Fax: (860) 404-2933
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06716)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 7315020005View full group profile

Name	Specialty	State
DAVID M DONNELLY (RPT)	Physical Therapist In Private Practice	CT
MR. JARRED ANTHONY PARKER (MS, PT)	Physical Therapist In Private Practice	CT
TARA DONNELLY (PT)	Physical Therapist In Private Practice	CT
MS. AMANDA RUTH HOLTZMAN (DPT)	Physical Therapist In Private Practice	CT
MR. KEVIN R HUBER (PHYSICAL THERAPIST)	Physical Therapist In Private Practice	CT
KEVIN SMITH	Physical Therapist In Private Practice	CT
MR. KEVIN T TUCKER (DPT)	Physical Therapist In Private Practice	CT
FRANCESCA ESPOSITO (PT)	Physical Therapist In Private Practice	CT
LINDSAY R VOSE (DPT)	-	CT
ERICA S O'KEEFE	Physical Therapist In Private Practice	CT

Reviews

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Frequently asked questions

Can I verify RUSSELL J BODURTHA (PHYSICAL THERAPIST) with an NPI only?

You can start verification with NPI 1033629092 for RUSSELL J BODURTHA (PHYSICAL THERAPIST), then check state licensing separately.

Does the file indicate RUSSELL J BODURTHA (PHYSICAL THERAPIST) is practicing under active NPI?

Directory data currently reports RUSSELL J BODURTHA (PHYSICAL THERAPIST) as active.

What is RUSSELL J BODURTHA (PHYSICAL THERAPIST)'s primary classification?

Physical Therapist is the headline specialty for RUSSELL J BODURTHA (PHYSICAL THERAPIST) here. Clinical services aligned with this taxonomy classification.

Where is RUSSELL J BODURTHA (PHYSICAL THERAPIST) based?

RUSSELL J BODURTHA (PHYSICAL THERAPIST) is tied to Wolcott, Connecticut in the data we show; additional addresses may exist on the full record.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.