Active NPIIndividual providerSole proprietor

Michelle E Russo, LCMT

Mechanotherapist in Cranston, Rhode Island

NPI Number1467614487
Practice location
1145 Reservoir Ave Ste 210, Cranston, RI 02920-6000
Fax
—
Last updated
July 8, 2025

Michelle E Russo is a Mechanotherapist based in Cranston, RI. Michelle E Russo practices in Cranston, RI and has the professional credentials of LCMT. The NPI Number for Michelle E Russo is 1467614487 and holds a License No. MT00862 (RI). The current practice location address for Michelle E Russo is 1145 Reservoir Ave Ste 210, Cranston, RI 02920-6000 and can be reached out via phone at 401-749-0662.

Provider Profile Details

NPI Number
1467614487
Provider Name
Michelle E Russo
Credential
LCMT
Provider Entity Type
Individual
Gender
Female
Address
1145 Reservoir Ave Ste 210, Cranston, RI 02920-6000
Phone Number
401-749-0662
Primary Taxonomy
Mechanotherapist · 172M00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 1, 2008
Last Update Date
July 8, 2025
Certification Date
July 8, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1145 Reservoir Ave Ste 210
Cranston, RI 02920-6000
Zip
02920-6000
Phone Number
401-749-0662
Cranston, RI 02920Get directions →

Provider Business Mailing Address Details

Address
1145 Reservoir Ave Ste 210
Cranston, RI 02920-6000
City
Cranston
State
RI
Zip
02920-6000
Phone Number
401-749-0662

License Information

License Number
MT00862
License State
RI
Taxonomy
Mechanotherapist · 172M00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michelle E Russo, LCMT?

The NPI number of Michelle E Russo, LCMT is 1467614487. It was assigned on July 1, 2008 and is currently active in the NPPES registry.

What is the specialty of Michelle E Russo, LCMT?

Michelle E Russo, LCMT is registered under the primary taxonomy Mechanotherapist (code 172M00000X), licensed in RI under license number MT00862.

Where does Michelle E Russo, LCMT practice?

The practice location is 1145 Reservoir Ave Ste 210, Cranston, RI 02920-6000. The office can be reached at 401-749-0662 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467614487 directly on the NPPES registry website.

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