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

Russell Dimaggio, PTA

Individual provider Physical Therapy Assistant · NPI 1245035492

Russell Dimaggio, PTA is a Physical Therapy Assistant in Macomb, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

52900 Garfield Rd
Macomb, MI 48042-3573
Phone: (586) 991-1399
Fax: (586) 218-3111
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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 5502008755 (MI)

Record details

NPI number1245035492
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 13, 2025
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing address52900 Garfield Rd, Macomb, MI 48042-3573

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