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MR. RUSSELL KOUTROUBY LAC
NPI 1487872479
Mechanotherapist in Northport, NY

Active since April 23, 2007
220 FORT SALONGA ROAD, NORTHPORT, NY 11768(631) 757-2688 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Russell Koutrouby Lac NPPES

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

MR. RUSSELL KOUTROUBY LAC (NPI 1487872479) is an individual mechanotherapist in Northport, New York, licensed in New York (8054) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1487872479
Entity TypeIndividualMale
Primary Taxonomy172M00000X
Provider Legal NameMR. RUSSELL KOUTROUBYCredential: LAC
Location Address220 FORT SALONGA ROADNorthport, NY 11768
Mailing Address22 Nevinwood PlaceHuntington Station, NY 11746 · (631) 385-8314
Phone(631) 757-2688
Sole ProprietorYes
Enumeration DateApril 23, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1487872479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMechanotherapistOther Service Providers
Taxonomy Code172M00000X
License✔ Licensed in NY · 8054
Definition
A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy.
Also ListedAcupuncturistTaxonomy 171100000X · License 2125 (NY)
220 FORT SALONGA ROAD, Northport, NY 11768
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Koutrouby's NPI number?

The NPI number for Russell Koutrouby is 1487872479. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Russell Koutrouby located?

Russell Koutrouby practices at 220 Fort Salonga Road, Northport, NY 11768. The listed phone number is (631) 757-2688.

What is Russell Koutrouby's specialty?

The primary specialty registered for this NPI is Mechanotherapist with taxonomy code 172M00000X.

When was this NPI record last updated?

The NPPES record for Russell Koutrouby was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.