Michael J. Russo, PT
NPI 1265737563ActiveIndividual· Physical Therapist, Orthopedic· Newport Beach, CA
Physical Therapist, Orthopedic (PT) with Wellness Tribe Physical Therapy Inc, practicing in Newport Beach, California. Medicare paid $58,469 for services to 36 patients in 2024.
Overview
| NPI | 1265737563 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Jan 18, 2011 |
| Last updated in NPPES | Mar 27, 2020 |
| Certified by provider | Mar 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | 34635 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 2,913 across 8 procedure codes |
| Paid by Medicare | $58,469 |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Wellness Tribe Physical Therapy IncIrvine, CA · 2 clinicians
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