Individual provider Active NPI

Russ A. L'Hommedieu, PT, M.A.

  • Orthopedic Physical Therapist
  • Riverhead, NY
National Provider Identifier
1699870204
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
011600 Issued in NY
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

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
011600NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Restorative Physical and Occupational Therapy Services, PLLC Past Accepting new patients
Home Advantage Physical Therapy PC Physical Therapist PastSince Oct 1, 2009 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.

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.

Verify at the official NPI Registry.