Organization Active NPI

Russo Chiropractic and Rehab LLC

  • Chiropractor
  • Tallahassee, FL
National Provider Identifier
1811769243
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RUSSO CHIROPRACTIC AND REHAB LLC
Practice address
3689 Coolidge CT Unit 7
Tallahassee, FL 32311-7912
Phone
(850) 422-2225
Fax
(850) 391-4661
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Dr. Fred E Russo, DCNPI 1689840118
Title
Chiropractor
Phone
(850) 422-2225

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3689 Coolidge CT Unit 7
Tallahassee, FL 32311-7912

Mailing address

3689 Coolidge CT Unit 7
Tallahassee, FL 32311-7912
Phone (850) 422-2225

National Provider Directory

National Provider Directory

Locations

3689 Coolidge Ct
Unit 7
Tallahassee, FL 32311
Phone (850) 422-2225

Practitioners & affiliated clinicians

Practitioners 1

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": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1811769243",
    "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"
        },
        {
            "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": {
        "organization_name": "RUSSO CHIROPRACTIC AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "850-422-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.