Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Russell Taveras, PT
Physical Therapist in Patchogue, NY · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1669587465
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Registry record
Entity type Individual (Type 1)
Name Mr. Russell Taveras
Credential PT
Sex Male
Practice address 79 E Main St, Patchogue, NY, 11772
Phone (631) 289-0088
Fax (631) 289-6177
Enumeration date Aug 20, 2006
Last updated in NPPES Mar 7, 2012
Taxonomy & licenses
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 0270991 (NY) Primary
PT · Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation.
About the PT credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Russell Taveras practice?
The practice location on file with NPPES is in Patchogue, NY. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Russell Taveras?
The National Provider Identifier (NPI) for Russell Taveras is 1669587465, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-07.