Nicholas Joseph Russo
NPI 1053915819ActiveIndividual· Physical Therapist· Eugene, OR
Physical Therapist with Ideal Physical Therapy of Texas LLC and 2 other groups, practicing in Eugene, Oregon. Medicare paid $29,470 for services to 79 patients in 2024.
Overview
| NPI | 1053915819 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 23, 2020 |
| Last updated in NPPES | Jun 19, 2026 |
| Certified by provider | Jun 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT36549 | FL |
| Physical Therapist | 225100000X | 66114 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AZ); Practitioner - Physical Therapist in Private Practice (OR); Practitioner - Physical Therapist in Private Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 79 |
|---|---|
| Services billed | 1,325 across 7 procedure codes |
| Paid by Medicare | $29,470 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Ideal Physical Therapy of Texas LLCCarrollton, TX · 364 clinicians
- Ati Holdings of Arizona LLCGoodyear, AZ · 224 clinicians
- Benchmark Physical Therapy of Oregon LLCSalem, OR · 125 clinicians
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All 312 physical therapists in Eugene · All physical therapists in Oregon