Individual provider · Type 1 NPI

Michael J. Russo, PT

Orthopedic Physical Therapist · Newport Beach, CA

NPI number 1265737563 Active

Practice location

20301 SW Acacia St Ste 150
Newport Beach, CA 92660-1741

Fax (949) 264-8219

Specialties and licenses

Taxonomy	Code	License
Orthopedic Physical Therapist Primary	2251X0800X	34635 (CA)

Orthopedic Physical Therapist: 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 prac…

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About NPI 1265737563

Michael J. Russo, PT's National Provider Identifier is 1265737563, issued on Jan 18, 2011. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Newport Beach, CA. The record was last updated on Mar 27, 2020.