Jean Danielle Russo, LMT, MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT021253 Issued in TX

Practice address

11222 Richmond Ave
Suite 210
Houston, TX 77082-6662

Phone

(832) 594-8705

Fax

(281) 752-5069

NPI assigned

Jun 23, 2008

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1255592184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12123 ELLA LEE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776032",
            "telephone_number": "832-594-8705",
            "fax_number": "281-752-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11222 RICHMOND AVE",
            "address_2": "SUITE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770826662",
            "telephone_number": "832-594-8705",
            "fax_number": "281-752-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "JEAN",
        "middle_name": "DANIELLE",
        "credential": "LMT, MMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT021253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timi Renee Russell, CSFA, LSA
• Anne Nicole Russey, LPC
• Russian Community Services,Inc
• Russo and Associates
• Charles E. Russo, M.D.
• Rubiela Russo
• Sam Nicholas Russo, M.D.
• Lynn Russom, COTA
• Megan Mary Rust, MD
• Eman Ayman Rustom, DDS

• Massage Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.