THERESA ANNEMARIE RUSSO
NPI 1063368223
Chiropractor in El Lago, TX

Active since March 09, 2026
315 PEBBLEBROOK DR, EL LAGO, TX 77586(815) 735-1852 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa Annemarie Russo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA ANNEMARIE RUSSO (NPI 1063368223) is an individual chiropractor in El Lago, Texas, licensed in Texas (16772) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1063368223
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameTHERESA ANNEMARIE RUSSO
Location Address315 PEBBLEBROOK DREl Lago, TX 77586-6010
Mailing Address315 Pebblebrook DrEl Lago, TX 77586-6010 · (815) 735-1852
Sole ProprietorYes
Enumeration DateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
NPI 1063368223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in TX · 16772
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
315 PEBBLEBROOK DR, El Lago, TX 77586

Other Names 1

Former Name (1)Theresa Schmitz

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Russo's NPI number?

The NPI number for Theresa Russo is 1063368223. It was assigned to this individual provider in the NPPES registry on March 9, 2026. The provider is also known as Theresa Schmitz.

Where is Theresa Russo located?

Theresa Russo practices at 315 Pebblebrook Dr, El Lago, TX 77586. The listed phone number is (815) 735-1852.

What is Theresa Russo's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Theresa Russo was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.