DOMENICK RUSSOLELLO
NPI 1750836078
Physical Therapist in Lagrangeville, NY

Active since August 16, 2016
1141 ROUTE 55, STE A, LAGRANGEVILLE, NY 12540(845) 895-1115(845) 895-1116 Get Directions Write a Review

NPPES record last updated: August 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Domenick Russolello NPPES

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

DOMENICK RUSSOLELLO (NPI 1750836078) is an individual physical therapist in Lagrangeville, New York, licensed in New York (040777) and active in the NPI registry since August 2016. He is a graduate of Other (2016).

NPPES Registry Identity

NPI1750836078
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDOMENICK RUSSOLELLO
Location Address1141 ROUTE 55, STE ALagrangeville, NY 12540-5005
Mailing Address16 Maybrook Rd, Ste ACampbell Hall, NY 10916-2743 · (845) 636-4344 · Fax (845) 636-4355
Fax(845) 895-1116
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 16, 2016
NPI 1750836078 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
License Licensed in NY · 040777
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:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • 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.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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.
1141 ROUTE 55, Lagrangeville, NY 12540

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Domenick Russolello is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315234671
PECOS Enrollment IDI20160929002731, I20180117000811

Areas of Expertise CMS Part B claims 5

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.
2,317 services142 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.
1,441 services120 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.
1,420 services129 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.
247 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.
111 services94 patients

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 Domenick Russolello's NPI number?

The NPI number for Domenick Russolello is 1750836078. It was assigned to this individual provider in the NPPES registry on August 16, 2016.

Where is Domenick Russolello located?

Domenick Russolello practices at 1141 Route 55 Ste A, Lagrangeville, NY 12540. The listed phone number is (845) 895-1115.

What is Domenick Russolello's specialty?

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

Is Domenick Russolello enrolled in Medicare?

Yes. Domenick Russolello is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Domenick Russolello was last updated on August 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.