Active NPIIndividual provider

Jacqueline Russo

Physical Therapy Assistant in Auburndale, Massachusetts

NPI Number1750860458
Practice location
120 Seminary Ave, Auburndale, MA 02466-2650
Fax
—
Last updated
August 13, 2018

Jacqueline Russo is a Physical Therapy Assistant based in Auburndale, MA. Jacqueline Russo practices in Auburndale, MA. The NPI Number for Jacqueline Russo is 1750860458 and holds a License No. 9508 (MA). The current practice location address for Jacqueline Russo is 120 Seminary Ave, Auburndale, MA 02466-2650 and can be reached out via phone at 617-633-7100.

Provider Profile Details

NPI Number
1750860458
Provider Name
Jacqueline Russo
Provider Entity Type
Individual
Gender
Female
Address
120 Seminary Ave, Auburndale, MA 02466-2650
Phone Number
617-633-7100
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
August 13, 2018
Last Update Date
August 13, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 Seminary Ave
Auburndale, MA 02466-2650
Zip
02466-2650
Phone Number
617-633-7100
Auburndale, MA 02466Get directions →

Provider Business Mailing Address Details

Address
36 Francis St
Belmont, MA 02478-2220
City
Belmont
State
MA
Zip
02478-2220
Phone Number
617-874-0765

License Information

License Number
9508
License State
MA
Taxonomy
Physical Therapy Assistant · 225200000X · 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 Jacqueline Russo?

The NPI number of Jacqueline Russo is 1750860458. It was assigned on August 13, 2018 and is currently active in the NPPES registry.

What is the specialty of Jacqueline Russo?

Jacqueline Russo is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 9508.

Where does Jacqueline Russo practice?

The practice location is 120 Seminary Ave, Auburndale, MA 02466-2650. The office can be reached at 617-633-7100 (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 1750860458 directly on the NPPES registry website.

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