Fred E Russo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0006439 Issued in FL

Practice address

3689 Coolidge CT Unit 7
Tallahassee, FL 32311-7912

Phone

(850) 422-2225

Fax

(850) 391-4661

NPI assigned

May 5, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

National College of Chiropractic, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Russo Chiropractic and Rehab LLC

  • Chiropractor
  • Tallahassee, FL
  • NPI 1811769243
  NPD Authorized official

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1689840118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3689 COOLIDGE CT UNIT 7",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323117912",
            "telephone_number": "850-422-2225",
            "fax_number": "850-391-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3689 COOLIDGE CT UNIT 7",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323117912",
            "telephone_number": "850-422-2225",
            "fax_number": "850-391-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "FRED",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2024-01-18",
        "certification_date": "2023-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "22778B",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Bullock Russell, MD
• Lisa Michelle Russell, LMT
• Rachel Russell, M.D.
• Russo Chiropractic and Rehab LLC
• Ariel Russo
• Russtech Language Services, Inc. (RussTech, Inc.)
• Casey Nicole Rust, M.D.
• George Staben Rust, MD
• Ruth-Paul in-Home Senior Care LLC
• Emillie Rutkowski, RBT

• Chiropractor in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.