MICHAEL J RUSSO (NPI# 1265737563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265737563 |
| Entity Type | Individual |
| Full Name | MICHAEL J RUSSO |
| Other Name | MIKE J RUSSO |
| Credential | PT |
| Practice Address |
20301 Sw Acacia St Ste 150 Newport Beach CA 92660-1741 |
| Practice Telephone | 9492749551 |
| Practice Fax Number | 9492648219 |
| Mailing Telephone | 9492749551 |
| Mailing Fax Number | 9492648219 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2020-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
34635 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205463486 | Michael Russo | Physical Therapist | 29800 Bainbridge Rd # So40, Solon, OH 44139-2202 | 2020-03-26 |
| 1982251427 | Michael Russo | Counselor | 17042 Puntledge Dr, Westfield, IN 46062-6521 | 2019-08-20 |
| 1699947242 | Michael James Russo | Social Worker | 19 Maidstone Ln, Hampton Bays, NY 11946-1670 | 2008-03-24 |
| 1700084381 | Michael Anthony Russo | Surgery | 1811 Brookfurst St #5600, Fountain Valley, CA 92708-6728 | 2007-07-05 |
| 1801824362 | Michael Russo | Chiropractor | 12362 Euclid St, Garden Grove, CA 92840-3308 | 2006-06-30 |
| 1164465571 | Michael Scott Russo | Chiropractor | 100 N Centre Ave, Suite 202, Rockville Centre, NY 11570-3937 | 2006-06-14 |
| 1619948973 | Michael S. Russo | Physical Therapist | 10 Church Towers, Hoboken, NJ 07030 | 2006-01-26 |
| 1477523785 | Michael B Russo | Psychiatry & Neurology | 250 Ward Ave Ste 170, Honolulu, HI 96814-4014 | 2006-01-26 |
| 1558822510 | Michael Jonathan Russo | Student in an Organized Health Care Education/Training Program | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2019-03-30 |
| 1245720523 | Michael Joseph Russo | Emergency Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2018-05-13 |
| Street Address |
20301 SW ACACIA ST STE 150 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-1741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750615050 | Natsuko Watanabe | Physical Therapist | 20301 Sw Acacia St Ste 150, Newport Beach, CA 92660-1741 | 2009-09-21 |
| 1609484906 | Brandon Ngo | Physical Therapy Assistant | 20301 Sw Acacia St Ste 150, Newport Beach, CA 92660-1741 | 2020-07-22 |
| 1861845562 | Katerina Sorrell | Counselor | 20301 Sw Acacia St Ste 150, Newport Beach, CA 92660-1741 | 2016-07-18 |
| 1881003440 | Rising Sun Physical Therapy & Wellness | Clinic/Center | 20301 Sw Acacia St Ste 150, Newport Beach, CA 92660-1741 | 2014-08-07 |
| 1427340165 | Laura Sainz D'eramo | Chiropractor | 20301 Sw Acacia St Ste 150, Newport Beach, CA 92660-1741 | 2011-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1700273067 | Paul Yoon | Physical Therapist | 1525 Superior Ave Ste 212, Newport Beach, CA 92663-3639 | 2015-04-23 |
| 1407475668 | Newport Functional Management Inc. | Physical Therapist | 2700 W Coast Hwy Ste 234, Newport Beach, CA 92663-4728 | 2020-04-08 |
| 1801264569 | Laura Ann Henderson | Physical Therapist | 22 Corporate Plaza Dr, Suite 113, Newport Beach, CA 92660-7985 | 2015-09-10 |
| 1356738629 | Jme Physical Therapy, PC | Physical Therapist | 20101 Sw Birch St, Suite 140, Newport Beach, CA 92660-1748 | 2015-04-23 |
| 1568899383 | Chase Twedell | Physical Therapist | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2013-10-11 |
| 1962837187 | Tyson Kazuo Matsumoto | Physical Therapist | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2013-09-06 |
| 1871878041 | Core Performance Physical Therapy, Inc. | Physical Therapist | 15 Corporate Plaza Dr, Suite 130, Newport Beach, CA 92660-7918 | 2011-10-19 |
| 1497060669 | Megan Elisabeth Parent | Physical Therapist | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2010-08-12 |
| 1629238761 | Kristy List | Physical Therapist | 3900 Birch St, Suite 104, Newport Beach, CA 92660-2209 | 2008-06-12 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
Please comment or provide details below to improve the information on MICHAEL J RUSSO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.