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

Russell Bergen, MPT

Individual provider Physical Therapist · NPI 1538395751

Russell Bergen, MPT is a Physical Therapist in New York, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

622 W 168th St Thrid Fl -Room 304
New York, NY 10032-3720
Phone: (212) 305-8401
Fax: (212) 305-1601
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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 029740 (NY)

Record details

NPI number1538395751
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedJune 2, 2009
Last updated in NPPESJune 2, 2009

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