Active NPI
Russ A. L'Hommedieu, PT, M.A.
- Orthopedic Physical Therapist
- Riverhead, NY
National Provider Identifier
1699870204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 011600
- Practice address
- 633 E Main St
Suite 3
Riverhead, NY 11901-7013 - Phone
- (631) 477-6035
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 011600 | NY | |
| Geriatric Physical Therapist | 2251G0304X | 011600 | NY | |
| Human Factors Physical Therapist | 2251H1300X | 011600 | NY | |
| Pediatric Physical Therapist | 2251P0200X | 011600 | NY | |
| Sports Physical Therapist | 2251S0007X | 011600 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | 011600 | NY | Primary |
Addresses
Primary practice location
633 E Main St
Suite 3
Riverhead, NY 11901-7013
Mailing address
985 Carrington Rd
Cutchogue, NY 11935-1624
Phone (631) 765-8069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011600 | NY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Restorative Physical and Occupational Therapy Services, PLLC | Past | Accepting new patients | |
| Home Advantage Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Riverhead, NY
- NPI 1982880951
-
- Physical Therapist
- Oceanside, NY
- NPI 1134454119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1699870204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985 CARRINGTON RD",
"city": "CUTCHOGUE",
"state": "NY",
"postal_code": "119351624",
"telephone_number": "631-765-8069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 E MAIN ST",
"address_2": "SUITE 3",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119017013",
"telephone_number": "631-477-6035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "L'HOMMEDIEU",
"first_name": "RUSS",
"middle_name": "A.",
"credential": "PT, M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "011600",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NY",
"license": "011600",
"primary": false
},
{
"code": "2251H1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Human Factors",
"state": "NY",
"license": "011600",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "011600",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NY",
"license": "011600",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "011600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.