Russell Dimaggio, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502008755 Issued in MI

Practice address

52900 Garfield Rd
Macomb, MI 48042-3573

Phone

(586) 991-1399

Fax

(586) 218-3111

NPI assigned

Feb 13, 2025

Sex

Male

Sole proprietor

No

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

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.

• Michigan in Motion Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Macomb, MI
  • NPI 1639746993
  NPD

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1245035492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52900 GARFIELD RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480423573",
            "telephone_number": "586-991-1399",
            "fax_number": "586-218-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52900 GARFIELD RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480423573",
            "telephone_number": "586-991-1399",
            "fax_number": "586-218-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAGGIO",
        "first_name": "RUSSELL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502008755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaron Deshazor
• Ajay Dewan
• Robyn R Dicristofaro
• Christine Dietz
• Lori A. Dillard, D.O.
• Paolo Dimaria, DPT
• Sonal Christina Diora, DDS
• Candie Marie Djurasaj, PTA
• Jason M Donaghue, M.D.
• Kali Renee Donelson, RDN

• Physical Therapy Assistant in Macomb, MI
• Providers in Macomb, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.