Kylie Amber Russo, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6628 Issued in CO

Practice address

320 S Ames St Apt 1
Lakewood, CO 80226-3658

Phone

(704) 996-5055

NPI assigned

Aug 16, 2021

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

Enrolled in CO

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation Colorado, LLCGroup PAC ID 0446641179, 99 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Empowerme Rehabilitation Colorado, LLC

  • Multi-Specialty Clinic/Center
  • Denver, CO
  • NPI 1063176493

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Bluebird Therapy and Wellness

  • Rehabilitation Clinic/Center
  • Lakewood, CO
  • NPI 1427731819
  Medicare reassignment NPD

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1326714858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S AMES ST APT 1",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263658",
            "telephone_number": "704-996-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S AMES ST APT 1",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263658",
            "telephone_number": "704-996-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "KYLIE",
        "middle_name": "AMBER",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "6628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Rusack, OTR
• Elizabeth Rusch-Richards, PT
• Emily Russell, RBT
• Faith Anastasia Russell, DPT
• Judith Kay Russell, GNP
• Jared Rust
• Rustic Canteen, LLC (FTC Kitchen)
• Betty A Rutledge, LPN
• Daisy M Ruvalcaba, RBT
• Michael I. Ruxin, M.D.

• Occupational Therapist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.