NPIMap

Organization Active NPI

Russo, Fleck & Associates

  • Physical Therapy Clinic/Center
  • Orange, CA
National Provider Identifier
1619263266
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 11241 Issued in CA
Legal business name
RUSSO, FLECK & ASSOCIATES
Practice address
960 W Town and Country Rd
Orange, CA 92868-4714
Phone
(714) 836-7886
Fax
(714) 836-1109
NPI assigned
Jun 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Anne FleckNPI 1558657197
Title
Owner/Otr
Phone
(714) 836-7886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X OT 3204 CA
Physical Therapy Clinic/Center 261QP2000X PT 11241 CA Primary

Addresses

Primary practice location

960 W Town and Country Rd
Orange, CA 92868-4714

Mailing address

960 W Town and Country Rd
Orange, CA 92868-4714
Phone (714) 836-7886

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1619263266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 W TOWN AND COUNTRY RD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684714",
            "telephone_number": "714-836-7886",
            "fax_number": "714-836-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W TOWN AND COUNTRY RD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684714",
            "telephone_number": "714-836-7886",
            "fax_number": "714-836-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSO, FLECK & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "FLECK",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/OTR",
        "authorized_official_telephone_number": "714-836-7886"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "CA",
            "license": "OT 3204",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 11241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.