Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOSEPH RUSSO, PT, DPT, ATC
DeactivatedDR. JOSEPH RUSSO, PT, DPT, ATC is a Physical Therapy Assistant healthcare provider located in SOUTH ELGIN, Illinois. NPI 1104215441 is deactivated in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SOUTH ELGIN, IL
This NPI has been deactivated.
The record was deactivated on May 22, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1104215441
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2015 (3.3643835616438 yrs)
- Last Updated
- Feb 8, 2024
- Deactivated
- May 22, 2018
- License
-
070024137 (IL)
Practice Information
- Address
-
486 RANDALL RDSOUTH ELGIN, IL, 601773353Browse IL providers · Browse ZIP 60177
- Phone
- 2247836128
- Fax
- 2247837737
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in SOUTH ELGIN, IL
| Name | Credential | NPI |
|---|---|---|
| JENNIFER LOUISE FERGUS | PT | 1699788661 |
| MELBA AVILES | PT | 1346464203 |
| CHARLOTTE VICENTE-BRANDON | PT | 1710196605 |
| CHRISTINE STRONG | PT | 1982992368 |
| MICHAEL MESINA | PT | 1992066047 |
| AMBER KAYE HOSEY | P.T. | 1780023358 |
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.