Antonino Russo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1124782 Issued in TX

Practice address

871 Old Alice Rd Ste 600
Brownsville, TX 78520-8274

Phone

(956) 541-2102

NPI assigned

Sep 19, 2012

Last updated

Sep 19, 2012By the provider in NPPES

Sex

Male

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Agave Home Health LLC

  • Home Health Agency
  • Alpine, TX
  • NPI 1326324401
  NPD
• Mercy Rehab Services Inc

  dba Mercy Kids Rehab

  • Rehabilitation Clinic/Center
  • San Antonio, TX
  • NPI 1467259309

  Physical Therapist

  NPD (past)
• Mercy Rehab Services Inc.

  dba Mercy Kids Rehab

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Brownsville, TX
  • NPI 1508821406
  NPD (past)

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1922359769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 OLD ALICE RD STE 600",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208274",
            "telephone_number": "956-541-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 OLD ALICE RD STE 600",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208274",
            "telephone_number": "956-541-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "ANTONINO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1124782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa C Ruiz, SLPA
• Sirena Nicole Ruiz
• Brooks Boyd Rule
• Charles Rurangirwa, M.D.
• Hellen Rurangirwa, M.D
• Oscar Antonio Ruvalcaba
• Leslie Joyce Saavedra, MS CCC-SLP
• Moises Gonzalo Saavedra, MS
• Teresa Gail Saavedra, DO
• Sabino Counseling Services PLLC

• Physical Therapist in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.