Weldon K Russo, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

109622 Issued in TX

Practice address

7277 Hawkins View Drive
Fort Worth, TX 76132-3921

Phone

(817) 423-5611

Fax

(817) 423-5577

NPI assigned

Jun 7, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Endeavor Rehab Center IncGroup PAC ID 6800989369, 123 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

74.64 of 100Reported as group

Quality

46.1

Promoting interoperability

92

Improvement activities

40

Cost

76.04

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Endeavor Rehab Center Inc

  • Physical Therapist
  • Austin, TX
  • NPI 1760506232

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Fort Worth Physical Therapy PLLC

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1598968505
  Medicare reassignment
• Endeavor Rehab Center Inc

  • Physical Therapist
  • Athens, TX
  • NPI 1548045156
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1093918989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7277 HAWKINS VIEW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323921",
            "telephone_number": "817-423-5611",
            "fax_number": "817-423-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7277 HAWKINS VIEW DRIVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323921",
            "telephone_number": "817-423-5611",
            "fax_number": "817-423-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "WELDON",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "109622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Russell, D.O.
• Jennifer Russell, LCDC-INTERN
• Stephanie Russell, BSN, RN
• Travis Odell Russell Jr., PTA
• Kourtney Russo, FNP-C
• Adrienne Rust, CPNP
• Eric M. Rustad, M.A., CCC-SLP
• Ruth R. Wiley, D.O., P.a.
• Shelby Rutherford
• David M Rutledge, MD

• Occupational Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.