Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Russell Stram, PT, LAC

Individual provider Physical Therapist · NPI 1083854210

Russell Stram, PT, LAC is a Physical Therapist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

55 W 39th St Ste 708
New York, NY 10018-3803
Phone: (917) 484-0887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 020372 (NY)
Acupuncturist Taxonomy 171100000X · Licence 003039 (NY)

Record details

NPI number1083854210
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , LAC
Sole proprietorYes
NPI enumeratedFebruary 27, 2009
Last updated in NPPESJanuary 12, 2017

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