Genalin Albania Rustia, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022317 Issued in NY

Practice address

2348 Waterbury Ave
Bronx, NY 10462-5017

Phone

(646) 645-3658

Fax

(718) 792-3653

NPI assigned

Dec 1, 2008

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1316192644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2348 WATERBURY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104625017",
            "telephone_number": "646-645-3658",
            "fax_number": "718-792-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2348 WATERBURY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104625017",
            "telephone_number": "646-645-3658",
            "fax_number": "718-792-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTIA",
        "first_name": "GENALIN",
        "middle_name": "ALBANIA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022317",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gemma Marie Russo
• Jaclyn Russo, M.S.
• Louis Russo III, ESQ. LMHC
• Sandy Russo
• Steffani M Russo
• Jason Ruta, MSPT
• Katie Rose Rutcofsky, AU.D.
• Sharon Rutherford
• Nicolas John Rutig, MD
• Amy Rutkowski, PT, DPT

• Physical Therapist in Bronx, NY
• Providers in Bronx, 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 Dec 1, 2008; 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.