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MAREDITH ANNE RUSSO PT, DPT
NPI 1740709070
Physical Therapist - Pediatrics in Beaufort, SC

Active since September 19, 2017
955 RIBAUT RD, BEAUFORT, SC 29902(843) 522-5900 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Sep 19, 2017 (2 updates tracked since 2017).

About Maredith Anne Russo Pt, Dpt NPPES

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

MAREDITH ANNE RUSSO PT, DPT (NPI 1740709070) is an individual pediatrics provider in Beaufort, South Carolina, licensed in South Carolina (8612) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1740709070
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMAREDITH ANNE RUSSOCredential: PT, DPT
Location Address955 RIBAUT RDBeaufort, SC 29902
Mailing Address955 Ribaut RdBeaufort, SC 29902-5441 · (843) 522-5900
Phone(843) 522-5900
Sole ProprietorNo
Enumeration DateSeptember 19, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1740709070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in SC · 8612
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
955 RIBAUT RD, Beaufort, SC 29902
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVAN DANIEL KANE M.D.
Emergency Medicine
955 RIBAUT RD, EMERGENCY DEPT
BEAUFORT, SC 29902
Beaufort County (843) 522-5200
MARIAN SPINA COTA
Occupational Therapy Assistant
955 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 522-5900
SAEED U. REHMAN MD
Emergency Medicine
955 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 522-5200
JESSICA MARIE HAUSFELD RD
Dietitian, Registered
955 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 522-5083
VINCENT IRISH M.D.
Radiology (Vascular & Interventional Radiology)
955 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 522-5200
STEPHANIE CHEKOS BAXLEY R.D.
Dietitian, Registered
955 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 522-5200
BEAUFORT COUNTY MEMORIAL HOSPITAL
General Acute Care Hospital
955 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 522-5200
BEAUFORT MEMORIAL HOSPITAL - NAVY RESOURCE SHARING
General Acute Care Hospital
955 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 228-5384

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 Maredith Russo's NPI number?

The NPI number for Maredith Russo is 1740709070. It was assigned to this individual provider in the NPPES registry on September 19, 2017.

Where is Maredith Russo located?

Maredith Russo practices at 955 Ribaut Rd, Beaufort, SC 29902. The listed phone number is (843) 522-5900.

What is Maredith Russo's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Maredith Russo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.