NICHOLAS JOSEPH RUSSO
NPI 1053915819
Physical Therapist in Eugene, OR

Active since November 23, 2020Accepts Medicare Assignment
1777 COBURG RD STE 3, EUGENE, OR 97401(541) 505-8041 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 10, 2024, Nov 23, 2020 (2 updates tracked since 2020).

About Nicholas Joseph Russo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS JOSEPH RUSSO (NPI 1053915819) is an individual physical therapist in Eugene, Oregon, licensed in Florida (PT36549) and active in the NPI registry since November 2020. He maintains 2 additional practice locations and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053915819
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameNICHOLAS JOSEPH RUSSO
Location Address1777 COBURG RD STE 3Eugene, OR 97401-5477
Mailing Address1200 Corporate Dr Ste 400Hoover, AL 35242-5424 · (423) 238-7217
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 23, 2020
Last NPPES UpdateJune 19, 20262 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
NPI 1053915819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in FL · PT36549 Licensed in OR · 66114
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

1777 COBURG RD STE 3, Eugene, OR 97401

Secondary Practice Locations 2

Location 13800 Sun City Center BlvdSun City Center, FL 33573-6805 · Phone (813) 633-9888
Location 216811 N Litchfield Rd Ste 101Surprise, AZ 85374-7062 · Phone (602) 313-4045 · Fax (623) 322-0664

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicholas Joseph Russo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204278005
PECOS Enrollment IDI20240524001246, I20260130001215

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
721 services77 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
409 services67 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
128 services40 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
22 services14 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
19 services19 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1777 COBURG RD STE 3
EUGENE, OR 97401
Physical Therapist
1777 COBURG RD STE 3
EUGENE, OR 97401
Physical Therapist
1777 COBURG RD STE 3
EUGENE, OR 97401
Physical Therapist
1777 COBURG RD STE 3
EUGENE, OR 97401
Physical Therapist
1777 COBURG RD STE 3
EUGENE, OR 97401
Physical Therapist
1777 COBURG RD STE 3
EUGENE, OR 97401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Russo's NPI number?

The NPI number for Nicholas Russo is 1053915819. It was assigned to this individual provider in the NPPES registry on November 23, 2020.

Where is Nicholas Russo located?

Nicholas Russo practices at 1777 Coburg Rd Ste 3, Eugene, OR 97401. The listed phone number is (541) 505-8041.

What is Nicholas Russo's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Nicholas Russo enrolled in Medicare?

Yes. Nicholas Russo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicholas Russo accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Maintenance Organization of Florida list Nicholas Russo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Russo was last updated on June 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.