Domenick Russolello
NPI 1750836078ActiveIndividual· Physical Therapist· Lagrangeville, NY
Physical Therapist with Elevate Holding Company, LLC and 1 other group, practicing in Lagrangeville, New York. Medicare paid $131,067 for services to 153 patients in 2024.
Overview
| NPI | 1750836078 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 16, 2016 |
| Last updated in NPPES | Aug 16, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 040777 | NY |
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 (CT); Practitioner - Physical Therapist in Private Practice (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 153 |
|---|---|
| Services billed | 5,592 across 8 procedure codes |
| Paid by Medicare | $131,067 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Elevate Holding Company, LLCFairfield, CT · 27 clinicians
- Elevate Physical Therapy PLLCYorktown Heights, NY · 5 clinicians
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