Individual provider Active NPI

Russell V. Passante, MA, OTR/L

  • Occupational Therapist
  • Ossining, NY
National Provider Identifier
1215220272
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
017776 Issued in NY
Practice address
36 Donald LN
Ossining, NY 10562-3912
Phone
(914) 469-0298
NPI assigned
May 25, 2011
Last updated
Feb 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 017776 NY Primary

Addresses

Primary practice location

36 Donald LN
Ossining, NY 10562-3912

Mailing address

36 Donald LN
Ossining, NY 10562-3912
Phone (914) 469-0298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsy Wagner LLC CurrentSince Feb 27, 2023 Accepting new patients

Locations

5030 Anchor Way
Ste 7
Christiansted, VI 00820
Phone (973) 280-4006

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1215220272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 DONALD LN",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105623912",
            "telephone_number": "914-469-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 DONALD LN",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105623912",
            "telephone_number": "914-469-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSANTE",
        "first_name": "RUSSELL",
        "middle_name": "V.",
        "name_prefix": "Mr.",
        "credential": "MA, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ossining, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.