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

Shelly Diane Rusin, PTA

Individual provider Physical Therapy Assistant · NPI 1891287967

Shelly Diane Rusin, PTA is a Physical Therapy Assistant in Waverly, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
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

37 N Chemung St
Waverly, NY 14892-1211
Phone: (607) 565-6259
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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 010552-1 (NY)

Record details

NPI number1891287967
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 4, 2018
Last updated in NPPESJune 4, 2018

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