MICHAEL J RUSSO PT
NPI 1265737563
Physical Therapist - Orthopedic in Newport Beach, CA

Q: What is Michael Russo's NPI number?

The NPI number for Michael Russo is 1265737563. It was assigned to this individual provider in the NPPES registry on January 18, 2011. The provider is also known as Mike J Russo.

Q: What is Michael Russo's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Michael Russo was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 18, 2011Accepts Medicare Assignment

20301 SW ACACIA ST STE 150, NEWPORT BEACH, CA 92660(949) 274-9551(949) 264-8219 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Michael J Russo Pt NPPES

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

MICHAEL J RUSSO PT (NPI 1265737563) is an individual orthopedic provider in Newport Beach, California, licensed in California (34635) and active in the NPI registry since January 2011. He is a graduate of Other (2007).

NPPES Registry Identity

NPI1265737563

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameMICHAEL J RUSSOCredential: PT

Location Address20301 SW ACACIA ST STE 150Newport Beach, CA 92660-1741

Mailing Address20301 Sw Acacia St Ste 150Newport Beach, CA 92660-1741 · (949) 274-9551 · Fax (949) 264-8219

Phone(949) 274-9551

Fax(949) 264-8219

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateJanuary 18, 2011

Last NPPES UpdateMarch 27, 2020

NPPES CertifiedMarch 27, 2020

✔ NPI 1265737563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in CA · 34635

Definition

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 practice.

20301 SW ACACIA ST STE 150, Newport Beach, CA 92660

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Other Names 1

Other Name (5)Mike J Russo

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael J Russo Pt 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 ID8022292648

PECOS Enrollment IDI20110406000309

Medicare Billing Reassignments

Medicare enrollment records show Michael Russo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rising Sun Physical Therapy & Wellness

Same address

Physical Therapy

20301 SW ACACIA ST STE 150
Newport Beach, CA 92660

Reassigned Medicare billing, California enrollment
3 clinicians in this Medicare group

NPI 1881003440 (949) 274-9551

Wellness Tribe Physical Therapy Inc

1.9 mi

Physical Therapist

2062 BUSINESS CENTER DR STE 140
Irvine, CA 92612

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1215689880 (949) 264-9858

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 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.

1,317 services35 patients

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.

1,050 services29 patients

Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283

Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.

463 services31 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.

28 services24 patients

Other Providers at the Same Location NPPES 4

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

DR. LAURA SAINZ D'ERAMO D.C.

Chiropractor

20301 SW ACACIA ST STE 150
NEWPORT BEACH, CA 92660

Orange County (949) 660-0700

BRANDON NGO PTA

Physical Therapy Assistant

20301 SW ACACIA ST STE 150
NEWPORT BEACH, CA 92660

Orange County (949) 274-9551

DR. NATSUKO WATANABE DPT

Physical Therapist

20301 SW ACACIA ST STE 150
NEWPORT BEACH, CA 92660

Orange County (949) 274-9551

RISING SUN PHYSICAL THERAPY & WELLNESS

Clinic/Center (Physical Therapy)

20301 SW ACACIA ST STE 150
NEWPORT BEACH, CA 92660

Orange County (949) 274-9551

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 Michael Russo's NPI number?

The NPI number for Michael Russo is 1265737563. It was assigned to this individual provider in the NPPES registry on January 18, 2011. The provider is also known as Mike J Russo.

Where is Michael Russo located?

Michael Russo practices at 20301 SW Acacia St Ste 150, Newport Beach, CA 92660. The listed phone number is (949) 274-9551.

What is Michael Russo's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Michael Russo enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Russo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Russo reassigns Medicare benefits to 2 organizations: Rising Sun Physical Therapy & Wellness (Newport Beach, CA) and Wellness Tribe Physical Therapy Inc (Irvine, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Russo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Russo was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.