Theresa Marie Russo, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

227170 Issued in MA

Practice address

Mashah Wellness Studios, 181 RT 137, Unit 3
Terry Russo NP, Wholistic Health Care
Harwich, MA 02659

Phone

(401) 236-7378

Fax

(508) 790-0808

NPI assigned

Sep 15, 2014

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

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Applebaum Physiatry PLLC

  • Physical Medicine & Rehabilitation Physician
  • Oak Brook, IL
  • NPI 1700598059

  MA

  Medicare reassignment Care Compare group NPD
• Medical Affiliates of Cape Cod, Inc.

  • Internal Medicine Physician
  • Hyannis, MA
  • NPI 1770534927
  Medicare reassignment NPD
• Northeast Health Services, LLC

  dba Hyland Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Taunton, MA
  • NPI 1225067481
  Medicare reassignment NPD
• Dennis Health Center

  • Chiropractor
  • South Dennis, MA
  • NPI 1447624416
  NPD
• Medical Affiliates of Cape Cod, Inc.

  • Ambulatory Surgical Clinic/Center
  • Mashpee, MA
  • NPI 1306391206
  NPD
• Flores and Flores Inc a Professional Corporation

  dba The Doctor la

  • Family Medicine Physician
  • West Hollywood, CA
  • NPI 1588016026
  NPD (past)

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1972904506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MASHAH WELLNESS STUDIOS, 181 RT 137, UNIT 3",
            "address_2": "TERRY RUSSO NP, WHOLISTIC HEALTH CARE",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "02659",
            "telephone_number": "401-236-7378",
            "fax_number": "508-790-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MASHAH WELLNESS STUDIOS, 181 RT 137, UNIT 3",
            "address_2": "TERRY RUSSO NP, WHOLISTIC HEALTH CARE",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "02659",
            "telephone_number": "401-236-7378",
            "fax_number": "508-790-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "227170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosewood Manor Opco LLC
• Ruth Elaine Rounsley, D.D.S.
• Royal Harwich Village Assisted Living
• Tanya Roza
• Warren King Russell, M.D.
• Patricia Ryan-Blanchard, NP
• Danielle M Ryder, BCBA
• Katrin Sara Sadigh, M.D.
• Dani Schechter
• Rachel Laura Schoenberg

• Nurse Practitioner in Harwich, MA
• Providers in Harwich, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.