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DR. NICHOLAS RUSSO PT DPT CSCS NPI 1659037950


NPI Information

NPI: 1659037950
Provider Name: DR. NICHOLAS RUSSO, PT, DPT, CSCS
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Address:
72880 FRED WARING DR STE B7
PALM DESERT, CA
ZIP 92260
Phone: (760) 340-4050
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DR. Nicholas Russo, PT, DPT, CSCS is an orthopedic physical therapist in Palm Desert, CA with 5 years of experience. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. DR. Nicholas Russo, PT, DPT, CSCS NPI is 1659037950. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

72880 FRED WARING DR STE B7
PALM DESERT, CA
ZIP 92260-375
Phone: (760) 340-4050

The enumeration date for this NPI number is 11/10/2021 and was last updated on 11/10/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251X0800XPhysical TherapistOrthopedicYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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