Active NPI
James W Russo, DPT
- Physical Therapist
- Scarsdale, NY
National Provider Identifier
1891470308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P12214601
- Practice address
- 672 White Plains Rd
Scarsdale, NY 10583-5008 - Phone
- (914) 722-2400
- Fax
- (914) 722-2406
- NPI assigned
- Jun 21, 2023
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P12214601 | NY | Primary |
Addresses
Primary practice location
672 White Plains Rd
Scarsdale, NY 10583-5008
Mailing address
672 White Plains Rd
Scarsdale, NY 10583-5008
Phone (914) 722-2400
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P12214601 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1891470308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "672 WHITE PLAINS RD",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105835008",
"telephone_number": "914-722-2400",
"fax_number": "914-722-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "672 WHITE PLAINS RD",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105835008",
"telephone_number": "914-722-2400",
"fax_number": "914-722-2406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "JAMES",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-21",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "P12214601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.