Ronald Buenagua Rustia, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022584 Issued in NY

Practice address

4909 Fort Hamilton Pkwy Ste a
Brooklyn, NY 11219-3372

Phone

(347) 627-9434

Fax

(347) 627-9435

NPI assigned

Nov 7, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boro Wellness Physical Therapy LLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1942780317
  Medicare reassignment NPD Authorized official
• Boro Park Medical P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1790815736
  NPD (past)
• Kings Medical PC

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1588848444
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1013998285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 FORT HAMILTON PKWY STE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193372",
            "telephone_number": "347-627-9434",
            "fax_number": "347-627-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 FORT HAMILTON PKWY STE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193372",
            "telephone_number": "347-627-9434",
            "fax_number": "347-627-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTIA",
        "first_name": "RONALD",
        "middle_name": "BUENAGUA",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02638228",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel T Russo
• Samantha Russo
• Elsa Russom, M.D.
• Mary Ann Russotti, OT/L
• Shakhlo Rustamzoda, RN
• Kashmira Rustomji, M.D.
• Irene Rusu Jutagir, MD
• John Rusu, M.D.
• Ornela M Rutagarama, MD
• Ilana Stephanie Rutberg, PHARMD

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.