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

Roman Leonidovich Pisarenko, PTA

Individual provider Physical Therapy Assistant · NPI 1093515652

Roman Leonidovich Pisarenko, PTA is a Physical Therapy Assistant in West Springfield, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2025
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

81 Bliss St
West Springfield, MA 01089-3401
Phone: (413) 304-1078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 10005 (MA)

Record details

NPI number1093515652
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 13, 2025
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

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