MR. RUSSELL TAVERAS PT
NPI 1669587465
Physical Therapist in Patchogue, NY

Active since August 20, 2006Accepts Medicare Assignment
79 E MAIN ST, PATCHOGUE, NY 11772(631) 289-0088(631) 289-6177 Get Directions Write a Review

NPPES record last updated: March 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Russell Taveras Pt NPPES

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

MR. RUSSELL TAVERAS PT (NPI 1669587465) is an individual physical therapist in Patchogue, New York, licensed in New York (0270991) and active in the NPI registry since August 2006. He is a graduate of State University Of New York At Stony Brook, School Of Medicine (2004).

NPPES Registry Identity

NPI1669587465
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. RUSSELL TAVERASCredential: PT
Location Address79 E MAIN STPatchogue, NY 11772-3101
Mailing Address79 E Main St, Ste IPatchogue, NY 11772-3101 · (631) 289-0088 · Fax (631) 289-6177
Fax(631) 289-6177
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2004
Enumeration DateAugust 20, 2006
Last NPPES UpdateMarch 7, 2012
NPI 1669587465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NY · 0270991
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
79 E MAIN ST, Patchogue, NY 11772

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Russell Taveras Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567628985
PECOS Enrollment IDI20120730000199

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
245 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Physical Therapy)
79 E MAIN ST
PATCHOGUE, NY 11772
Acupuncturist
79 E MAIN ST
PATCHOGUE, NY 11772
Chiropractor
79 E MAIN ST
PATCHOGUE, NY 11772
Physical Medicine & Rehabilitation
79 E MAIN ST
PATCHOGUE, NY 11772

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 Taveras's NPI number?

The NPI number for Russell Taveras is 1669587465. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Russell Taveras located?

Russell Taveras practices at 79 E Main St, Patchogue, NY 11772. The listed phone number is (631) 289-0088.

What is Russell Taveras's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Russell Taveras enrolled in Medicare?

Yes. Russell Taveras is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Russell Taveras was last updated on March 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.