Karen Marie Russo

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

916 N Western Ave Ste 205
San Pedro, CA 90732-2435

Phone

(310) 779-3654

NPI assigned

Sep 14, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1982187985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 STONEWOOD CT",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907321546",
            "telephone_number": "310-779-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 N WESTERN AVE STE 205",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907322435",
            "telephone_number": "310-779-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Francis Rubino, D.D.S.
• Oralia Rubio
• Russell a. Grootegoed DPM
• Jeffrey Raymond Russell II
• John Baptist Russo, M.D.
• Rustin Wilson Chiropractic Corporation
• Ryan Chang, DDS Inc
• Marc Pierson Ryan, L.AC.
• Nina Sabet-Peyman, M.D.
• Saeed Malekafzali, MD, Inc.

• Physical Therapist in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.