KELLY A RUSSO PT, DPT, NCS, ATP
NPI 1326115841
Physical Therapist - Neurology in Malvern, PA

Q: What is Kelly Russo's NPI number?

The NPI number for Kelly Russo is 1326115841. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Kelly Russo's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Russo was last updated on January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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 November 29, 2006

414 PAOLI PIKE, MALVERN, PA 19355(484) 596-7894 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly A Russo Pt, Dpt, Ncs, Atp NPPES

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

KELLY A RUSSO PT, DPT, NCS, ATP (NPI 1326115841) is an individual neurology provider in Malvern, Pennsylvania and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1326115841

Entity TypeIndividualFemale

Primary Taxonomy2251N0400X

Provider Legal NameKELLY A RUSSOCredential: PT, DPT, NCS, ATP

Location Address414 PAOLI PIKEMalvern, PA 19355-3311

Mailing Address82 Tucker DrDowningtown, PA 19335-1457 · (443) 739-6993

Phone(484) 596-7894

Sole ProprietorYes

Enumeration DateNovember 29, 2006

Last NPPES UpdateJanuary 18, 2019

✔ NPI 1326115841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code2251N0400X

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.

414 PAOLI PIKE, Malvern, PA 19355

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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.

MEDICAL ASSOCIATES OF THE MAIN LINE, PC

Hospitalist