MR. RUSSELL A CERTO (NPI# 1275502742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275502742 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL A CERTO |
| Credential | PT OCS |
| Practice Address |
1801 Grand Island Blvd Grand Island NY 14072 |
| Practice Telephone | 7167734323 |
| Practice Fax Number | 7167739418 |
| Mailing Telephone | 7167734323 |
| Mailing Fax Number | 7167739418 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
0100021 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 000606777004 | 01 | |
| DME | 000606777005 | 01 | |
| INDEPENDENT HEALTH | 9352188 | 01 |
| Street Address |
1801 GRAND ISLAND BLVD |
| City | GRAND ISLAND |
| State | NY |
| Zip Code | 14072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036232 | Tiffany Ho Cao | Physical Therapist | 1801 Grand Island Blvd, Grand Island, NY 14072-2249 | 2020-09-04 |
| 1508308446 | Alyssa Jo Sliwinski | Physical Therapy Assistant | 1801 Grand Island Blvd, Grand Island, NY 14072-2249 | 2016-11-09 |
| 1407220510 | Sara Mckirchy. | Physical Therapist | 1801 Grand Island Blvd, Grand Island, NY 14072-2249 | 2015-12-01 |
| 1265834329 | Regina Rhodes | Physical Therapist | 1801 Grand Island Blvd, Grand Island, NY 14072-2249 | 2014-09-19 |
| 1083014278 | Colleen Kennedy | Specialist | 1801 Grand Island Blvd, Grand Island, NY 14072-2249 | 2014-08-26 |
| 1194135012 | Dawn Beers | Physical Therapy Assistant | 1801 Grand Island Blvd, Grand Island, NY 14072-2249 | 2014-04-30 |
| 1821365826 | Matthew Robert Kulpit | Physical Therapist | 1801 Grand Island Blvd, Grand Island, NY 14072 | 2011-11-19 |
| 1467734137 | Amy C Pickwell | Physical Therapy Assistant | 1801 Grand Island Blvd, Grand Island, NY 14072-2249 | 2011-09-19 |
| 1790093748 | Nicole M. Wilson | Occupational Therapy Assistant | 1801 Grand Island Blvd, Grand Island, NY 14072-2171 | 2010-09-23 |
| 1336457894 | Erin Fuller | Occupational Therapy Assistant | 1801 Grand Island Blvd, Grand Island, NY 14072-2249 | 2010-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275183287 | Bodyworksolutions LLC | Physical Therapist | 2099 Grand Island Blvd., Ste B, Grand Island, NY 14072 | 2019-09-12 |
| 1134685084 | Dr. Cassata Eye Care Optometrist, P.C. | Optometrist | 1780 Grand Island Blvd, Grand Island, NY 14072 | 2019-02-15 |
| 1487122875 | Kimberley Catherine Banas | Licensed Practical Nurse | 552 East River Rd, Grand Island, NY 14072 | 2018-11-05 |
| 1538667910 | Lauren Jane Fonte | Specialist | 218 Woodstream Drive, Grand Island, NY 14072 | 2018-01-31 |
| 1750806279 | Susan Ruth Spiesz | In Home Supportive Care | 2970 Sunset Drive, Grand Island, NY 14072 | 2017-08-04 |
| 1265894307 | Corey Yamamura | Case Manager/Care Coordinator | Baseline Rd., Grand Island, NY 14072 | 2016-03-28 |
| 1174890941 | Kristine Ann Taylor | Speech-Language Pathologist | 1100 Ransom Road, Grand Island Central School District, Grand Island, NY 14072 | 2011-11-22 |
| 1710141890 | Jo Ann Marie Mallo | Dietitian, Registered | 452 White Haven Rd, Grand Island, NY 14072 | 2008-07-17 |
| 1972782720 | Jeanne Quintern | Pharmacist | 2325 Grand Island Blvd, Grand Island, NY 14072 | 2007-10-29 |
| 1689894909 | Island Prescription Center,llc | Pharmacy | 1728 Grand Island Blvd, Grand Island, NY 14072 | 2007-04-27 |
| Find all providers in zip 14072 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902866536 | Grand Island Physical Therapy PC | Physical Therapist | 1801 Grand Island Blvd, Grand Island, NY 14072-2171 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760152 | Molly Ripp | Physical Therapist | 1165 Northern Blvd Ste 403, Manhasset, NY 11030-3048 | 2020-11-02 |
| 1982202024 | Integrated Pt2 Pllc | Physical Therapist | 4720 Center Blvd Apt 3006, Long Island City, NY 11109-5648 | 2020-10-12 |
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1912514704 | Hochung Jeon | Physical Therapist | 4545 Center Blvd Apt 904, Long Island City, NY 11109-5917 | 2020-09-25 |
| 1831704469 | Colleen M Brough | Physical Therapist | 710 W 168th St Ste 336, New York, NY 10032-3726 | 2020-09-10 |
| 1225641731 | Kyle Dillon | Physical Therapist | 667 Stoneleigh Ave Ste 11, Carmel, NY 10512-2454 | 2020-08-25 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1194335059 | Donn Samson | Physical Therapist | 8762 52nd Ave Fl 2, Elmhurst, NY 11373-3938 | 2020-08-05 |
| 1679195499 | Vital Rehab LLC | Physical Therapist | 3165 Nostrand Ave Apt 4e, Brooklyn, NY 11229-3243 | 2020-05-14 |
| 1508485657 | Melvin Varghese | Physical Therapist | 172 Hoover Rd, Yonkers, NY 10710-3409 | 2020-04-09 |
| Find all providers with the same taxonomy | ||||
| City | GRAND ISLAND |
| Zip Code | 14072 |
Please comment or provide details below to improve the information on MR. RUSSELL A CERTO.
| 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.