Russell Taveras, PT
Physical Therapist · Patchogue, NY
Russell Taveras, PT is a physical therapist with a practice address in Patchogue, New York, and NPI 1669587465, issued on Aug 20, 2006. Check the license (New York 0270991, as entered in NPPES) with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Russell Taveras
- Credential
- PT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 0270991 NY
Self-reported in NPPES; status is on the state search - Practice location
- 79 E Main St, Patchogue, NY 11772
- Phone
- (631) 289-0088
- Enumerated
- Aug 20, 2006
- Record last updated
- Mar 7, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (631) 289-6177
- Medicare enrollment
- Enrolled (PECOS I20120730000199); accepts Medicare assignment
- Medical or professional school
- State University Of New York At Stony Brook, School Of Medicine, 2004
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 21,756 in New York → Look up another NPI →
Also registered at 79 E Main St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Stephen Saroli, DCChiropractor1689754061
Verify Russell Taveras in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 0270991Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Russell Taveras among 21,756 physical therapist records in New York
Russell Taveras, PT is one of 21,756 physical therapist records with a practice address in New York. 31% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 2% of them.
- NPI issued2006 · 2% of these records are older, 86% newer
- In a Medicare fileNo · 31% of these records are
- In the CMS Doctors and Clinicians fileYes · 34% of these records are
- Graduated2004 · median 2016 among the 7,302 with a school on file
- Record last updated2012 · 66% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
57 physical therapist records list a practice address in Patchogue
They are 57 of the 987 NPPES records with a practice address in Patchogue, and 21,756 physical therapist records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 21,756 in New York → Every provider in Patchogue → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Kieran DeneenPatchogue, NY 117721619060613
- Michelle DoxseePatchogue, NY 117721265461560
- Blake Holland, DPTPatchogue, NY 117721922023514
- William Keltz, DPTPatchogue, NY 117721649295213
- Jeffrey Lackowitz, PTPatchogue, NY 117721326140328
- Linda Lapp, P.T.Patchogue, NY 117721639257876
- James Maone, PTEast Patchogue, NY 117721144295650
- Daniel Mondiello, DPTPatchogue, NY 117721760407340
Common questions
What is Russell Taveras, PT's NPI number?
Russell Taveras, PT's National Provider Identifier (NPI) is 1669587465, issued on Aug 20, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Russell Taveras, PT located?
The NPPES record lists a practice address at 79 E Main St, Patchogue, NY, 11772. Phone: (631) 289-0088. Providers update this record themselves, so call before visiting.
How can I verify Russell Taveras, PT's license?
NPPES lists New York license number 0270991, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.