JOSEPH RUSSO (NPI# 1104215441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104215441 |
| Entity Type | Individual |
| Full Name | JOSEPH RUSSO |
| Credential | ATC |
| Practice Address |
41w 470 Silvana Dr. Elgin IL 60124 |
| Practice Telephone | 8478140312 |
| Mailing Telephone | 8478140312 |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2018-06-04 |
| NPI Deactivation Date | 05/22/2018 |
| NPI Reactivation Date | 2018-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184946477 | Joseph Russo I | Pharmacist | 741 E Little Creek Rd, Norfolk, VA 23518-3709 | 2010-02-27 |
| 1073770194 | Joseph Abel Russo | Psychiatry & Neurology | 177 Post Rd W, 2nd Floor, Westport, CT 06880-4652 | 2008-05-16 |
| 1104032184 | Joseph Anthony Russo | Dentist | 155 Seashore Dr, Jupiter, FL 33477-9687 | 2007-05-15 |
| 1982823753 | Joseph E. Russo | Physical Therapist | 274 1st Ave, 7 D, New York, NY 10009-1809 | 2007-04-24 |
| 1356443030 | Joseph A. Russo | Chiropractor | 1605 Locust Hill Rd, Suite 101, Greer, SC 29651-6075 | 2006-09-02 |
| 1679528921 | Joseph Patrick Russo | Radiology | 95 Highland Ave Ste 130, Bethlehem, PA 18017-9483 | 2006-05-24 |
| 1053393884 | Joseph Louis Russo | Chiropractor | 500 Park Blvd, Massapequa Park, NY 11762-2742 | 2005-11-17 |
| 1336121334 | Joseph P. Russo | Dentist | 15 W Water St, Wakefield, MA 01880-2914 | 2005-11-16 |
| 1891791786 | Joseph Scott Russo | Family Medicine | 1300 Johnson St, Elkhart, IN 46514-3406 | 2005-06-24 |
| 1104425974 | Joseph Russo | Registered Nurse | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-10-22 |
| Street Address |
41W 470 SILVANA DR. |
| City | ELGIN |
| State | IL |
| Zip Code | 60124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124544978 | Kathleen Malinis | Registered Nurse | 2400 Big Timber Road, Elgin, IL 60124 | 2017-08-14 |
| 1538681671 | Josephina Pilolli | Nurse Practitioner | 2490 Bushwood Dr, Unit F, Elgin, IL 60124 | 2017-07-11 |
| 1962858761 | Alex Torres | Specialist/Technologist | 2485 College Green Drive, Elgin, IL 60124 | 2016-05-11 |
| 1033588322 | Ph Elgin, LLC | Skilled Nursing Facility | 1754 Capital Street, Elgin, IL 60124 | 2015-09-17 |
| 1871928838 | Tiffany Lang | Behavioral Analyst | 3522 Hopewell Place, Elgin, IL 60124 | 2013-09-10 |
| 1376851386 | Angela Marie Stastny | Dietitian, Registered | 42w794 Mcdonald Rd, Campton Hills, IL 60124 | 2010-09-24 |
| 1598088726 | Shelly A. Pearson | Physical Therapist | 3051 Longcommon Parkway, Elgin, IL 60124 | 2010-03-02 |
| 1437282027 | Susan Ann Blocker | Speech-Language Pathologist | 3106 Kyra Ln, Elgin, IL 60124 | 2007-03-13 |
| 1134286057 | Siri Chanthasalo | Dentist | 3091 W. Route 20, #103, Elgin, IL 60124 | 2007-01-02 |
| 1174623664 | Thomas A. Lutz | Internal Medicine | 1670 Capital St Ste 500, Elgin, IL 60124 | 2006-09-24 |
| Find all providers in zip 60124 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196966 | Kellen J Allen | Physical Therapist | 922 North A St, Elgin, OK 73538 | 2020-08-26 |
| 1639794209 | Joseph Tatman Potts | Physical Therapist | 20120 Fm 619, Elgin, TX 78621-5343 | 2020-06-10 |
| 1356975353 | Kelli Clevenger | Physical Therapist | 3497 Gallant Fox Dr, Elgin, IL 60124-5701 | 2020-02-27 |
| 1558993469 | Marlo Montesclaros | Physical Therapist | 31w061 Wolsfeld Dr, Elgin, IL 60120-7404 | 2020-02-08 |
| 1740820299 | Three In One Physical Therapy, Pllc | Physical Therapist | 207 Main Street North, Elgin, ND 58533 | 2020-01-13 |
| 1780224261 | Julie Marie Mellnick | Physical Therapist | 745 Fletcher Dr Ste 103, Elgin, IL 60123-4748 | 2020-01-13 |
| 1598224099 | Monica Patrice Goodwin | Physical Therapist | 385 Spears Creek Church Rd, Elgin, SC 29045-8446 | 2019-03-14 |
| 1558854216 | Mante Baliutaviciute | Physical Therapist | 1435 N Randall Rd Ste 105, Elgin, IL 60123-2302 | 2018-06-07 |
| 1689185613 | Michelle Weeks | Physical Therapist | 385 Spears Creek Church Rd Ste B, Elgin, SC 29045-8446 | 2017-10-17 |
| 1255857553 | Ghia Christie Flores Bael | Physical Therapist | 3652 Thornhill Dr, Elgin, IL 60124-8085 | 2017-08-17 |
| Find all providers in ELGIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.