Nicholas Russo
NPI 1053915819 · Physical Therapist · Surprise, AZ
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Russo is a Physical Therapist provider in Surprise, AZ (NPI 1053915819).
Provider details
- NPI number
- 1053915819
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,317 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Functional Activities97530 | 721 | $29 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 409 | $22 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 128 | $20 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 22 | $25 |
| Evaluation for Physical Therapy, Typically 30 Minutes97162 | 19 | $97 |
| Evaluation for Physical Therapy, Typically 20 Minutes97161 | 18 | $97 |
Practice location
Mailing address
Additional practice locations (1)
- 3800 Sun City Center BlvdSun City Center, FL 33573-6805Phone: (813) 633-9888
Registry dates
- Enumerated
- 2020-11-23
- Last updated
- 2024-05-10
- Certified
- 2024-05-10
Frequently asked questions
- What is Nicholas Russo's NPI number?
- Nicholas Russo's National Provider Identifier (NPI) is 1053915819, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Russo's specialty?
- Nicholas Russo is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Nicholas Russo located?
- Nicholas Russo's practice location on file with NPPES is 16811 N Litchfield Rd Ste 101, Surprise, AZ 85374-7062.
- What is Nicholas Russo's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Russo is (602) 313-4045.
- Does Nicholas Russo accept Medicare?
- Nicholas Russo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Russo's NPI active?
- Yes — Nicholas Russo's NPI (1053915819) is active in the NPPES registry as of the last update on 2024-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.