DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLENN RUSSO

Active Sole Proprietor

GLENN RUSSO is a Physical Therapy Assistant healthcare provider located in ASTORIA, New York. NPI 1033828488 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ASTORIA, NY

Registration Details

NPI Number
1033828488
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2022 (3.7577851684876 yrs)
Last Updated
Feb 25, 2026
License
049881 (NY)
Sole Proprietor
Yes

Practice Information

Address
2527 23RD ST
ASTORIA, NY, 111022783
Browse NY providers · Browse ZIP 11102
Phone
2016861049
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in ASTORIA, NY

Name Credential NPI
MS. MAGDALINI LETSI PT 1992707699
MR. LEOPOLDO D SAMONTE PT 1710989413
DR. THEODOSIOS NEAMONITIS DPT 1396794228
DR. DIMITRIOS KOSTOPOULOS PT, PHD, DSC, ECS 1801834734
RACHEL W CORDERO 1700829777
KONSTANTINE RIZOPOULOS PT, FABS 1902842834
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.