Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Patrick Russo, PT

Individual provider Physical Therapist · NPI 1417472317

Patrick Russo, PT is a Physical Therapist in Private Practice in Midlothian, Virginia. Qualified in 2017, 9 years ago. Practices with Orthovirginia Inc, a 570-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Licensed in
VA
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

13801 St Francis Blvd Ste 200
Midlothian, VA 23114-3206
Phone: (804) 320-4604
Fax: (804) 287-2786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8206 Leesburg Pike Ste 402, Vienna, VA 22182-2614 — (703) 356-3470

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305211362 (VA)

Record details

NPI number1417472317
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 11, 2017
Last updated in NPPESApril 23, 2020
Certification dateApril 23, 2020
Mailing address1115 Boulders Pkwy Ste 200, North Chesterfield, VA 23225-4067

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Orthovirginia Inc — 570 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Midlothian