Doctor profile · Federal record
Dr. Domenick Russolello
Physical Therapist (CMS: Physical Therapist in Private Practice) · Lagrangeville, NY
- NPI 1750836078
- 10 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1141 Route 55, Ste A
Lagrangeville, NY 125405005
(845) 895-1115
fax (845) 895-1116 - Mailing address
-
16 Maybrook RD, Ste A
Campbell Hall, NY 109162743
Credentials & registration
- NPI registered
- August 2016 — 10 yrs on file
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- New York #040777
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1750836078. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
6,733
Distinct HCPCS
8
Medicare allowed
$204,582
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97140 |
Therapy procedure using manual technique, each 15 minutes | 1,930 | 138 | $22 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 1,631 | 129 | $31 | |
97530 |
Therapy procedure using functional activities | 1,496 | 106 | $38 | |
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,338 | 106 | $25 | |
97116 |
Therapy procedure for walking training, each 15 minutes | 151 | 11 | $24 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 144 | 124 | $108 | |
97535 |
Training for self-care or home management, each 15 minutes | 30 | 19 | $29 | |
97162 |
Evaluation for physical therapy, typically 30 minutes | 13 | 12 | $109 |
In context: peer comparison
Among 2 peers in Lagrangeville Physical Therapist, average services per provider: 817. This provider delivers 8.2× the peer median.Frequently asked questions
What is Dr. Domenick Russolello's medical specialty?
Dr. Domenick Russolello practices Physical Therapist in Lagrangeville, NY.
Where does Dr. Domenick Russolello practice?
Dr. Domenick Russolello practices at 1141 Route 55, Lagrangeville, NY 125405005. Office phone: 8458951115.
What is Dr. Domenick Russolello's NPI?
Dr. Domenick Russolello's National Provider Identifier (NPI) is 1750836078, issued by NPPES.
Does Dr. Domenick Russolello accept Medicare assignment?
Dr. Domenick Russolello does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Domenick Russolello commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using manual technique (HCPCS 97140); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure using functional activities (HCPCS 97530). Source: CMS Medicare Physician & Other Practitioners file.