Cathleen P Russo, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

031790-01 Issued in NY

Practice address

64 Capitol Ave
Williston Park, NY 11596-1621

Phone

(516) 302-3460

NPI assigned

Sep 3, 2021

Last updated

Sep 3, 2021By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Caring Professional Approach Massage PC

  • Health Service Clinic/Center
  • Williston Park, NY
  • NPI 1790453603
  NPD Authorized official

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1154099042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CAPITOL AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961621",
            "telephone_number": "516-302-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 CAPITOL AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961621",
            "telephone_number": "516-302-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "CATHLEEN",
        "middle_name": "P",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "031790-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Rubenstein, PHD
• Jennifer Elyse Rubin, PHARMD
• Bruce A Rudin, D.P.M.
• Jessica Rupp, MS
• Russell Hu Physical Therapy LLC
• Maura N Ryan, RN
• S.E.E.D.S. of the Willistons Inc.
• Jessica Schellig
• Joseph Schiera, MS, RD, CDN
• Sheri Elena Scott Calleo, LMHC, CASAC

• Massage Therapist in Williston Park, NY
• Providers in Williston Park, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.