Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PATRICK RUSSO, PT
ActivePATRICK RUSSO, PT is a Physical Therapy Assistant healthcare provider located in MIDLOTHIAN, Virginia. NPI 1417472317 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MIDLOTHIAN, VA
Registration Details
- NPI Number
- 1417472317
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2017 (9.0244804315697 yrs)
- Last Updated
- Apr 23, 2020
- License
-
2305211362 (VA)
Practice Information
- Address
-
13801 ST FRANCIS BLVD STE 200MIDLOTHIAN, VA, 231143206Browse VA providers · Browse ZIP 23114
- Phone
- 8043204604
- Fax
- 8042872786
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MIDLOTHIAN, VA
| Name | Credential | NPI |
|---|---|---|
| LORETTA FORMAN | P.T. | 1134125289 |
| DIANE CRANENDONK | PT, OCS | 1285631283 |
| LORI MAGNUSON | P.T. | 1275531253 |
| MS. MARYANN THERESA DOMINGUEZ | PT | 1437158102 |
| ERIC LAWRENCE JORDE | PT | 1154304780 |
| MR. TIMOTHY JAMES WITTENAUER | — | 1417933953 |
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.