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

Mr. Marvin Russo, OTR/L

Individual provider Specialist · NPI 1396059655

Mr. Marvin Russo, OTR/L is a Specialist in Woodbury, New York. Practices as a sole proprietor. Licensed in Florida and New York.

Licensed in
FL, NY
In the registry since
2010
Specialties on file
3
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

103 Cypress Dr
Woodbury, NY 11797
Phone: (516) 448-7598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 006886 (NY)
Specialist Taxonomy 174400000X · Licence 006886 (NY)
Occupational Therapist Taxonomy 225X00000X · Licence OT15825 (FL)

Record details

NPI number1396059655
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJuly 28, 2010
Last updated in NPPESJuly 21, 2022

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