Nicole Russo, PT, DPT
Physical Therapist in Sea Girt, New Jersey
1013337864- Practice location
- 2123 Highway 35, Sea Girt, NJ 08750-1003
- Phone
- 732-449-2001
- Fax
- 732-449-2238
- Last updated
- June 30, 2022
Nicole Russo is a Physical Therapist based in Sea Girt, NJ. Nicole Russo practices in Sea Girt, NJ and has the professional credentials of PT, DPT. The NPI Number for Nicole Russo is 1013337864 and holds a License No. 40QA01532600 (NJ). The current practice location address for Nicole Russo is 2123 Highway 35, Sea Girt, NJ 08750-1003 and can be reached out via phone at 732-449-2001 and via fax at 732-449-2238.
Provider Profile Details
- NPI Number
- 1013337864
- Provider Name
- Nicole Russo
- Credential
- PT, DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2123 Highway 35, Sea Girt, NJ 08750-1003
- Phone Number
- 732-449-2001
- Fax Number
- 732-449-2238
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 21, 2014
- Last Update Date
- June 30, 2022
- Certification Date
- June 30, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2123 Highway 35
Sea Girt, NJ 08750-1003 - City
- Sea Girt
- State
- New Jersey
- Zip
- 08750-1003
- Phone Number
- 732-449-2001
- Fax Number
- 732-449-2238
Provider Business Mailing Address Details
- Address
- 224 Strawbridge Dr Ste 100
Moorestown, NJ 08057-4602 - City
- Moorestown
- State
- NJ
- Zip
- 08057-4602
- Phone Number
- 856-677-4000
- Fax Number
- 856-234-3014
License Information
- License Number
- 40QA01532600
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Nicole Russo, PT, DPT?
The NPI number of Nicole Russo, PT, DPT is 1013337864. It was assigned on April 21, 2014 and is currently active in the NPPES registry.
What is the specialty of Nicole Russo, PT, DPT?
Nicole Russo, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01532600.
Where does Nicole Russo, PT, DPT practice?
The practice location is 2123 Highway 35, Sea Girt, NJ 08750-1003. The office can be reached at 732-449-2001 (phone) or 732-449-2238 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013337864 directly on the NPPES registry website.