Amy Russo, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1986 Issued in NH

Practice address

3073 White Mountian Highway
North Conway, NH 03860

Phone

(603) 356-4949

NPI assigned

Jun 17, 2019

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

Credentials

Master of Science

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1770143323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTIAN HIGHWAY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "03860",
            "telephone_number": "603-356-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTIAN HIGHWAY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "03860",
            "telephone_number": "603-356-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "AMY",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "1986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devra Reiman, DPT
• David C. Riss, M.D.
• Robert W. Tilney III MD PC
• Ariel Christian Roche, ACNPC-NP
• Kelsey Ruggiero, CCC-SLP
• Wenda Saunders, MD
• Sawyer Optometric Services LLC (Conway Eye Care)
• Angelique Marie Sawyer, O.D.
• Lindsay Schaefer, CNM
• Jane Obrero Scienzo, PT

• Occupational Therapist in North Conway, NH
• Providers in North Conway, NH by specialty
• Occupational Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.