RUSSO REHABILITATION LLC NPI 1902180573

NPI Information

  • NPI: 1902180573
  • Provider Name: RUSSO REHABILITATION, LLC
  • Classification: Occupational Therapist - 225XN1300X
  • Specialization: Neurorehabilitation
  • Entity Type: Organization
  • Address: 505 LOUVOIS ST
    MANDEVILLE, LA
    ZIP 70448
  • Phone: (678) 462-2923

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NPI Details

RUSSO REHABILITATION, LLC is a neurorehabilitation occupational therapist in Mandeville, LA. RUSSO REHABILITATION, LLC NPI is 1902180573. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

505 LOUVOIS ST
MANDEVILLE, LA
ZIP 70448-468
Phone: (678) 462-2923
Fax: (866) 753-4652

The provider's authorized official is Kelly Russo Stone .
The authorized official title is Ceo; Owner; Occupational Therapist and has the following contact phone number (678) 462-2923.

The enumeration date for this NPI number is 9/30/2011 and was last updated on 6/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225XE0001XOccupational TherapistEnvironmental ModificationNo
2225XF0002XOccupational TherapistFeeding, Eating & SwallowingNo
3225XM0800XOccupational TherapistMental HealthNo
4225XP0200XOccupational TherapistPediatricsNo
5225XN1300XOccupational TherapistNeurorehabilitationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12450514MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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