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

Individual provider Physical Therapist · NPI 1851062459

Kaitlin Ashli Russo, PT, DPT is a Physical Therapist in Private Practice in Staten Island, New York. Qualified in 2021, 5 years ago. Practices with Masefield and Cavallaro Physical Therapy PC, a 5-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

69 Guyon Ave
Staten Island, NY 10306-2018
Phone: (718) 979-7013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7608 15th Ave, Brooklyn, NY 11228-2510 — (718) 259-0900

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1851062459
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 23, 2021
Last updated in NPPESNovember 18, 2021
Certification dateNovember 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Masefield And Cavallaro Physical Therapy Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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