NPIMap

Organization Active NPI

Maryann Russo, PT

  • Physical Therapist
  • Yorktown Heights, NY
National Provider Identifier
1801097944
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MARYANN RUSSO, PT
Practice address
3535 Hill Blvd
Suite P
Yorktown Heights, NY 10598-1293
Phone
(914) 962-2728
Fax
(914) 962-1729
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Maryann C Russo, M.S., P.T.
Title
Director
Phone
(914) 962-2728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3535 Hill Blvd
Suite P
Yorktown Heights, NY 10598-1293

Mailing address

3535 Hill Blvd
Suite P
Yorktown Heights, NY 10598-1293
Phone (914) 962-2728

Other names 1

  • Northern Westchester Putnam Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

21 Peekskill Hollow Rd
Ste 201
Putnam Valley, NY 10579
Phone (845) 528-3133

3535 Hill Blvd
Ste P
Yorktown Heights, NY 10598
Phone (914) 962-2728

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801097944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 HILL BLVD",
            "address_2": "SUITE P",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981293",
            "telephone_number": "914-962-2728",
            "fax_number": "914-962-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 HILL BLVD",
            "address_2": "SUITE P",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981293",
            "telephone_number": "914-962-2728",
            "fax_number": "914-962-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYANN RUSSO, PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "914-962-2728",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Westchester Putnam Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.