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

Mrs. Colleen E Russo, MS, PT

Individual provider Physical Therapist · NPI 1477705135

Mrs. Colleen E Russo, MS, PT is a Physical Therapist in Private Practice in Statesville, North Carolina. Qualified in 2008, 18 years ago. Practices with Piedmont Healthcare PA, a 223-clinician group and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
18
Licensed in
FL, NC
In the registry since
2008
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

556 Kitchings Dr
Statesville, NC 28677-3588
Phone: (704) 872-0024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P13684 (NC)
Physical Therapist Taxonomy 225100000X · Licence PT 24193 (FL)

Record details

NPI number1477705135
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PT
Sole proprietorNo
NPI enumeratedOctober 14, 2008
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Piedmont Healthcare Pa — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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