DR. JOSEPH RUSSO (PT, DPT, ATC) – Physical Therapist, NPI 1104215441
Physical Therapist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL
Provider Addresses for DR. JOSEPH RUSSO (PT, DPT, ATC)
41W 470 SILVANA DR.
ELGIN, IL 60124
Phone: (847) 814-0312
Type: Mailing
2000 MCDONALD RD
SOUTH ELGIN, IL 601773323
Phone: (224) 783-6128
Type: Location
41W 470 Silvana Dr.
Elgin, IL 60124
Phone: (847) 814-0312
Type: Location
2000 McDonald Rd
South Elgin, IL 601773323
Phone: (224) 783-6128
Type: Location
29373 NETWORK PL
CHICAGO, IL 606731293
Phone: (847) 390-5900
Type: Mailing
486 RANDALL RD
SOUTH ELGIN, IL 601773353
Phone: (224) 783-6128
Fax: (224) 783-7737
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240131004856 | I | Physical Therapist In Private Practice | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | IL | |
| A N E S T H E S I O L O G Y | IL | |
| - | MN | |
| - | IL | |
| - | IL | |
| Rheumatology, Internal Medicine | IL | |
| - | IL | |
| Internal Medicine | IL | |
| P S Y C H I A T R Y | IL | |
| - | IL |
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