Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL J RUSSO, PT
Active Sole ProprietorMICHAEL J RUSSO, PT is a Ergonomics (Occupational Therapy) healthcare provider located in NEWPORT BEACH, California. NPI 1265737563 is currently active in the NPPES registry. Verify at CMS.
Ergonomics (Occupational Therapy) · NEWPORT BEACH, CA
Registration Details
- NPI Number
- 1265737563
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2011 (15.604995382096 yrs)
- Last Updated
- Mar 27, 2020
- License
-
34635 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20301 SW ACACIA ST STE 150NEWPORT BEACH, CA, 926601741Browse CA providers · Browse ZIP 92660
- Phone
- 9492749551
- Fax
- 9492648219
- Primary Specialty
-
Ergonomics (Occupational Therapy)
2251X0800X
Other Ergonomics (Occupational Therapy) Providers in NEWPORT BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER PAIGE FLORES | PT | 1750324141 |
| MS. DIANE KOCH | PT | 1245256148 |
| MR. EDWARD CORNEJO | PT, MPT, CFMT | 1245470319 |
| MEGAN ELISABETH PARENT | DPT | 1497060669 |
| MRS. MELANIE ANN CORNEJO | P.T. | 1902114382 |
| DR. TYSON KAZUO MATSUMOTO | D.P.T. | 1962837187 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.