P Praxis·MD
● Active Type 1 · Individual

Antonino Roberto Russo

Physical Therapist·Burley, ID· NPI 1316604937 · Enumerated 2021 · 4 years on NPI
Russo is 1 of 22 physical therapist providers in Burley and 1 of 2006 in Idaho.
NPI age
4 years
Enumerated 2021-11-18
Primary specialty
Physical Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-11-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2006 active physical therapist providers in Idaho.

NPI age
4 years
↓ 7 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-11Enumerated in NPPES
2021 2026

Where they practice

Practice location
1945 Hiland Ave
Burley, ID 833182714
📞 2086470024
Mailing address
1411 Falls Ave E Ste 401
Twin Falls, ID 833013455
📞 2086470024fax 2086470239

Specialties

  • Physical Therapist Primary
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    ID license #PT-7636 taxonomy 225100000X

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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