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

Nicholas Joseph Russo

Individual provider Physical Therapist · NPI 1053915819

Nicholas Joseph Russo is registered under Physical Therapist in Private Practice in Eugene, Oregon. Qualified in 2020, 6 years ago. Practices with Ati Holdings of Arizona LLC, a 231-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Oregon.

Years since qualifying
6
Licensed in
FL, OR
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1777 Coburg Rd Ste 3
Eugene, OR 97401-5477
Phone: (541) 505-8041
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 16811 N Litchfield Rd Ste 101, Surprise, AZ 85374-7062 — (602) 313-4045
  • 3800 Sun City Center Blvd, Sun City Center, FL 33573-6805 — (813) 633-9888

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT36549 (FL)
Physical Therapist Taxonomy 225100000X · Licence 66114 (OR)

Record details

NPI number1053915819
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 23, 2020
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ati Holdings Of Arizona Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 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 patients79
Services billed 1,325 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

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 Ati Holdings of Arizona LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 231 clinicians in the practice; 12 are shown here.

Other providers in Eugene