Nicole Ann Russo, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

021565 Issued in NY

Practice address

6575 Kirkville Rd
East Syracuse, NY 13057-9809

Phone

(315) 701-5710

NPI assigned

Jun 22, 2017

Last updated

Jun 22, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hear 2 Learn PLLC Audiology and Speech/Language Pathology

  dba Hear 2 Learn

  • Early Intervention Provider Agency
  • East Syracuse, NY
  • NPI 1841431509

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1699295469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8437 FERGERSON RD",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130399713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 KIRKVILLE RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579809",
            "telephone_number": "315-701-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RSM Medical Associates, PLLC
• Laurel Rudd
• Danielle Ruffo
• Andrew Scott Rumpf, PHARMD
• Mark Russo, ATC, CSCS
• Ryan D'Amico DPM PLLC (Syracuse Podiatry)
• Fahed Saada
• Desiree Anne Salucci, M.S., CCC-SLP
• Gina Marie Salvatore, OTR/L
• James Samsel, P.T.

• Occupational Therapist in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Occupational Therapist in New York

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