Active NPI
David Scott Russo
- Orthopedic Physical Therapist
- Palm Harbor, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT 21117
- Practice address
- 37026 US Highway 19 N
Palm Harbor, FL 34684-1109 - Phone
- (727) 938-1935
- NPI assigned
- Dec 11, 2006
- Last updated
- Feb 24, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT 21117 | FL | Primary |
Addresses
Primary practice location
37026 US Highway 19 N
Palm Harbor, FL 34684-1109
Mailing address
37026 US Highway 19 N
#330B
Palm Harbor, FL 34684-1109
Phone (727) 938-1935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5311 Grand Blvd
New Port Richey, FL 34652-4014
Phone (727) 848-3962
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 21117 | FL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farhan Siddiqi, MD PA | Current | Accepting new patients | |
| Ewing and Thomas, Inc. | Orthopedic | Current | Accepting new patients |
| Sobe Innovative Rehabilitation PLLC | Orthopedic | Current | Accepting new patients |
| Jeffery J. Kromolicki PA | Current | Accepting new patients | |
| Farhan Siddiqi, MD PA | Current | Accepting new patients | |
| Ewing and Thomas, Inc | Current | Accepting new patients |
Locations
2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014
11329 Cortez Blvd
Brooksville, FL 34613
Phone (352) 340-5935
5311 Grand Blvd
New Prt Rchy, FL 34652
Phone (727) 848-3962
2040 Short Ave
Odessa, FL 33556
Phone (727) 372-9922
11319 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 556-2524
701 N West Shore Blvd
Tampa, FL 33609
Phone (352) 340-5935
2019 Little Rd
Trinity, FL 34655
Phone (727) 375-7557
7005 Nightwalker Rd
Weeki Wachee, FL 34613
Phone (352) 556-2524
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Odessa, FL
- NPI 1750752291
-
- Chiropractor
- Trinity, FL
- NPI 1336405521
-
- Physical Therapist
- Spring Hill, FL
- NPI 1750825261
-
- Orthopaedic Surgery Physician
- Wesley Chapel, FL
- NPI 1003672700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1740340876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37026 US HIGHWAY 19 N",
"address_2": "#330B",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346841109",
"telephone_number": "727-938-1935",
"fax_number": "727-937-7199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37026 US HIGHWAY 19 N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346841109",
"telephone_number": "727-938-1935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "DAVID",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT 21117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.