Vanessa Edythe Russo, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3125 Issued in CT

Practice address

230 Deming St
Manchester, CT 06042-1778

Phone

(959) 246-8166

NPI assigned

Apr 17, 2007

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)

Enrolled

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757808000000",
    "number": "1902022304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 DEMING ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060421778",
            "telephone_number": "959-246-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 DEMING ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060421778",
            "telephone_number": "959-246-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "VANESSA",
        "middle_name": "EDYTHE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-09-14",
        "certification_date": "2025-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "3125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuriye Rumeli
• Erica M Rusczyk
• Bryce Russell
• Jael Russell, AUD
• Kristin Russell
• Patricia Sabia
• Faraz Mohammad Sabir, PA-C
• Zeenat Safiullah, LCSW-C
• Edgar F Salas, DMD
• Richard Salazar

• Occupational Therapist in Manchester, CT
• Providers in Manchester, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2025; 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.