Glenn Russo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

049881 Issued in NY

Practice address

2527 23Rd St
Astoria, NY 11102-2783

Phone

(201) 686-1049

NPI assigned

Nov 15, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Glenn Russo Physical Therapy, PLLC

  • Physical Therapist
  • Astoria, NY
  • NPI 1871420083
  NPD Authorized official

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1033828488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 23RD ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022783",
            "telephone_number": "201-686-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 23RD ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022783",
            "telephone_number": "201-686-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "GLENN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-15",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xavier Lionel Ruiz, MD
• Vanessa Maria Rumayor, RN, BSN
• Janet Runcie, RPA
• Bernard Rupnarain, DDS MSD
• Alessia Russello, LCSW
• Mohammad Saadeh, RPH
• Amanda Saake, LMSW
• Rachel Sabo
• Arkadiy Sabzanov, M.D.
• Alla Sabzanova, D.O.

• Physical Therapist in Astoria, NY
• Providers in Astoria, 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 Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.