Russo Therapeutics, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

RUSSO THERAPEUTICS, LLC

Practice address

561 King Street
South Windsor, CT 06074

Phone

(860) 969-0207

Fax

(833) 491-0465

NPI assigned

May 4, 2020

Last updated

Jun 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Beata D. Russo, M.ED OTR/L, CHTNPI 1104157148

Title

Owner/Otr/L, CHT

Phone

(860) 969-0207

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beata Russo, M.ED, OTR/L

  • Occupational Therapist
  • South Windsor, CT
  • NPI 1104157148

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Filomena Chamberland, OTR/L

  • Occupational Therapist
  • Rocky Hill, CT
  • NPI 1366409344
  Medicare reassignment Care Compare group NPD
• Julie A. Bousquet, OT

  • Occupational Therapist
  • Willimantic, CT
  • NPI 1780614313
  Medicare reassignment NPD
• Whitney Ann Burns, OTR/L

  • Occupational Therapist
  • South Windsor, CT
  • NPI 1790007987
  Medicare reassignment NPD
• Rachel D'Agostino, OTR/L

  • Occupational Therapist
  • Newington, CT
  • NPI 1245948090
  Medicare reassignment NPD
• Brooke Juliette Ellis, OTD, OTR/L

  • Hand Occupational Therapist
  • Enfield, CT
  • NPI 1871253286
  Medicare reassignment NPD

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1174144919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 CLARK STREET # 1382",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "06074",
            "telephone_number": "860-969-0207",
            "fax_number": "833-491-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 KING STREET",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "06074",
            "telephone_number": "860-969-0207",
            "fax_number": "833-491-0465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "561 King Street",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "06074",
            "country_code": "US",
            "telephone_number": "860-729-9034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RUSSO THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "BEATA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/OTR/L, CHT",
        "authorized_official_telephone_number": "860-969-0207",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "br@russotherapeutics.com",
            "affiliation": "N",
            "endpointDescription": "Telehealth",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "561 King Street",
            "city": "South Windsor",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Todd Barry Rubin, D.M.D.
• Beata Russo, M.ED, OTR/L
• Anna Ryan, DO
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• Occupational Therapist in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.