MICHAEL J RUSSO PT NPI 1265737563

NPI Information

  • NPI: 1265737563
  • Provider Name: MICHAEL J RUSSO, PT
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Individual
  • Address: 20301 SW ACACIA ST STE 150
    NEWPORT BEACH, CA
    ZIP 92660
  • Phone: (949) 274-9551

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NPI Details

Michael J Russo, PT is an orthopedic physical therapist in Newport Beach, CA with 19 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapy procedure using functional activities (HCPCS:97530)
  • Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
  • Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (HCPCS:G0283)
  • Evaluation for physical therapy, typically 30 minutes (HCPCS:97162)
  • Evaluation for physical therapy, typically 20 minutes (HCPCS:97161)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

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