Teresa Rusk Mastantuono

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

03025L Issued in MD

Practice address

1920 Rosemont Ave
Frederick, MD 21702-8249

Phone

(240) 772-9200

NPI assigned

Aug 22, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Teresa Rusk Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1912730201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 W GREENLEAF DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217022625",
            "telephone_number": "240-440-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 ROSEMONT AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028249",
            "telephone_number": "240-772-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTANTUONO",
        "first_name": "TERESA",
        "middle_name": "RUSK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "03025L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "RUSK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Mason
• Taylor Masotta, LGPC
• Sandra Gail Masser
• Emily Massi, RDN, LDN
• Raya Massoud, M.D.
• Masters Specilties LLC
• Christel Angela Joy Masters, CRNP
• Baljinder Singh Matharu
• Amy Ann Mathew, M.D.
• Jared Anderson Matlick, DPT

• Speech-Language Pathologist in Frederick, MD
• Providers in Frederick, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.