Deanna Russo, M.S., OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

46TR00764900 Issued in NJ

Practice address

551 Park Ave
Suite 4
Scotch Plains, NJ 07076-1767

Phone

(908) 380-7715

NPI assigned

Jan 29, 2017

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Play by Day LLC

  • Home Health Agency
  • Marlboro, NJ
  • NPI 1134732092
  NPD Authorized official

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

{
    "created_epoch": "1485648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485648000000",
    "number": "1699212639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 FISHER DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088445264",
            "telephone_number": "908-448-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 PARK AVE",
            "address_2": "SUITE 4",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761767",
            "telephone_number": "908-380-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "DEANNA",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-29",
        "last_updated": "2017-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00764900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mara Francine Rosenfeld, MS OTR/L
• Ross Therapy Group
• Arnold M Roth, MD
• Roy C. Grzesiak, PH.D., PC
• Melvin Rubenstein, M.D.,F.A.C.P.
• RWP Enterprises LLC
• Lauren Ashley Rydelek, LPC
• Hillary Sachs, MS RD CSO
• Rachelle Safar, LPC
• Jazel Mayen Salas, OTR/L, CAPS, CDP

• Pediatric Occupational Therapist in Scotch Plains, NJ
• Providers in Scotch Plains, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2017; 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.