MR. RUSSELL A CERTO PT OCS
NPI 1275502742
Physical Therapist - Orthopedic in Grand Island, NY

Q: What is Russell Certo's NPI number?

The NPI number for Russell Certo is 1275502742. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Q: What is Russell Certo's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Russell Certo was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 16, 2006

1801 GRAND ISLAND BLVD, GRAND ISLAND, NY 14072(716) 773-4323(716) 773-9418 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mr. Russell A Certo Pt Ocs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RUSSELL A CERTO PT OCS (NPI 1275502742) is an individual orthopedic provider in Grand Island, New York, licensed in New York (0100021) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1275502742

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameMR. RUSSELL A CERTOCredential: PT OCS

Location Address1801 GRAND ISLAND BLVDGrand Island, NY 14072

Mailing Address1801 Grand Island BlvdGrand Island, NY 14072 · (716) 773-4323 · Fax (716) 773-9418

Phone(716) 773-4323

Fax(716) 773-9418

Sole ProprietorNo

Enumeration DateMarch 16, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1275502742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in NY · 0100021

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

1801 GRAND ISLAND BLVD, Grand Island, NY 14072

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Other Identifiers 3

Other000606777004Blue Cross Blue Shield

Other9352188Independent Health

Other000606777005Dme

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Russell A Certo Pt Ocs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Russell Certo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grand Island Physical Therapy PC

Physical Therapist

1801 GRAND ISLAND BLVD
Grand Island, NY 14072

Reassigned Medicare billing, New York enrollment
28 clinicians in this Medicare group

NPI 1902866536 (716) 773-4323

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBEKAH LEIGH WALTER COTA/L

Occupational Therapy Assistant