Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Domenick Russolello

Individual provider Physical Therapist · NPI 1750836078

Domenick Russolello is registered under Physical Therapist in Private Practice in Lagrangeville, New York. Qualified in 2016, 10 years ago. Practices with Elevate Holding Company, LLC, a 27-clinician group. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
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Practice location Address checks out

1141 Route 55 Ste A
Lagrangeville, NY 12540-5005 Not confirmed with CMS for 10 years — call before visiting
Phone: (845) 895-1115
Fax: (845) 895-1116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 040777 (NY)

Record details

NPI number1750836078
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 16, 2016
Last updated in NPPESAugust 16, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Elevate Holding Company, Llc — 27 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients153
Services billed 5,592 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Elevate Holding Company, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 27 clinicians in the practice; 12 are shown here.

Other providers in Lagrangeville