Active NPIIndividual provider

Ms. Loretta Langan-Russo, PT, DPT

Physical Therapist in Mount Laurel, New Jersey

NPI Number1992862460
Practice location
127 Ark RD, Mount Laurel, NJ 08054-6302
Fax
856-608-7750
Last updated
July 31, 2012

Loretta Langan-Russo is a Physical Therapist based in Mount Laurel, NJ. Loretta Langan-Russo practices in Mount Laurel, NJ and has the professional credentials of PT, DPT. The NPI Number for Loretta Langan-Russo is 1992862460 and holds a License No. 40QA01220300 (NJ). The current practice location address for Loretta Langan-Russo is 127 Ark RD, Mount Laurel, NJ 08054-6302 and can be reached out via phone at 856-608-7733 and via fax at 856-608-7750.

Provider Profile Details

NPI Number
1992862460
Provider Name
Loretta Langan-Russo
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Female
Address
127 Ark RD, Mount Laurel, NJ 08054-6302
Phone Number
856-608-7733
Fax Number
856-608-7750
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
January 3, 2007
Last Update Date
July 31, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
127 Ark RD
Mount Laurel, NJ 08054-6302
Zip
08054-6302
Phone Number
856-608-7733
Fax Number
856-608-7750
Mount Laurel, NJ 08054Get directions →

Provider Business Mailing Address Details

Address
4175 Veterans Memorial Hwy
Suite 202
Ronkonkoma, NY 11779-7639
City
Ronkonkoma
State
NY
Zip
11779-7639
Phone Number
631-580-5200
Fax Number
631-580-5222

License Information

License Number
40QA01220300
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ms. Loretta Langan-Russo, PT, DPT?

The NPI number of Ms. Loretta Langan-Russo, PT, DPT is 1992862460. It was assigned on January 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Loretta Langan-Russo, PT, DPT?

Ms. Loretta Langan-Russo, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01220300.

Where does Ms. Loretta Langan-Russo, PT, DPT practice?

The practice location is 127 Ark RD, Mount Laurel, NJ 08054-6302. The office can be reached at 856-608-7733 (phone) or 856-608-7750 (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 1992862460 directly on the NPPES registry website.

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