Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony J Russo, PTA

Individual provider Physical Therapy Assistant · NPI 1861990657

Anthony J Russo, PTA is a Physical Therapy Assistant in Orange Park, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

2300 Park Ave Ste 203
Orange Park, FL 32073-5573
Phone: (904) 634-0640
Fax: (904) 634-0203
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA28155 (FL)

Record details

NPI number1861990657
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 26, 2018
Last updated in NPPESJanuary 26, 2018
Mailing address6500 Bowden Rd Ste 103, Jacksonville, FL 32216-8066

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