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MICHAEL J RUSSO PT NPI 1265737563


NPI Information

NPI: 1265737563
Provider Name: MICHAEL J RUSSO, PT
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Organization: RISING SUN PHYSICAL THERAPY AND WELLNESS Address:
20301 SW ACACIA ST STE 150
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 274-9551
Get Directions

Michael J Russo, PT is an orthopedic physical therapist in Newport Beach, CA with 17 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. Michael J Russo, PT NPI is 1265737563. 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:

20301 SW ACACIA ST STE 150
NEWPORT BEACH, CA
ZIP 92660-741
Phone: (949) 274-9551
Fax: (949) 264-8219

The enumeration date for this NPI number is 1/18/2011 and was last updated on 3/27/2020.


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 TherapistOrthopedic34635CALIFORNIAYes

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: 11/14/2023

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