Nicole Russo, MSOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1104 Arnold Ave
Point Pleasant Boro, NJ 08742-2388

Phone

(732) 714-0070

NPI assigned

Nov 10, 2020

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Medcare Therapy Services:Physical, Occupational & Massage Therapy,PLLC

  • Physical Therapist
  • Holbrook, NY
  • NPI 1326355132

  Occupational Therapist

  Medicare reassignment NPD
• New York Physical and Occupational Therapy Services, PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1356703631

  Occupational Therapist

  Medicare reassignment NPD
• Orthopedic Assoc of Long Island Physicians & Medical Group PLLC

  • Orthopaedic Surgery Physician
  • East Setauket, NY
  • NPI 1225593809
  Medicare reassignment NPD
• Orthopedic Assoc of Long Island Physicians & Medical Group PLLC

  • Durable Medical Equipment & Medical Supplies
  • Centereach, NY
  • NPI 1235943572
  NPD

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1821690231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MUSIC MOUNTAIN BLVD",
            "city": "LAMBERTVILLE",
            "state": "NJ",
            "postal_code": "085303442",
            "telephone_number": "908-328-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 ARNOLD AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422388",
            "telephone_number": "732-714-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "NICOLE",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert a Wojciak DMD, PA
• Rocco a Giliberti DO LLC
• Anna Rose Rosell, RDN
• Thomas Rossi, ATC
• Esther Rube, MS CCC-SLP
• Micaela Sager, PA-C
• Lisa Salins, LCSW-C, LCSW
• Renee Schechter
• Jeanette Marie Sealy
• Seeds of Hope and Healing LLC

• Occupational Therapist in Point Pleasant Boro, NJ
• Providers in Point Pleasant Boro, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.