RUSSO REHABILITATION, LLC
NPI 1902180573
Occupational Therapist - Neurorehabilitation in Mandeville, LA

Active since September 30, 2011
505 LOUVOIS ST, MANDEVILLE, LA 70448(678) 462-2923(866) 753-4652 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2023, Jun 1, 2023 (2 updates tracked since 2023).

About Russo Rehabilitation, Llc NPPES

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

RUSSO REHABILITATION, LLC (NPI 1902180573) is a healthcare organization registered as a neurorehabilitation in Mandeville, Louisiana and active in the NPI registry since September 2011. The organization lists Kelly Russo Stone, Ceo; Owner; Occupational Therapist, as its authorized official.

NPPES Registry Identity

NPI1902180573
Entity TypeOrganization
Primary Taxonomy225XN1300X
Legal Business NameRUSSO REHABILITATION, LLC
Location Address505 LOUVOIS STMandeville, LA 70448-5468
Mailing Address505 Louvois StMandeville, LA 70448-5468 · (678) 462-2923 · Fax (866) 753-4652
Fax(866) 753-4652
Organization SubpartNo
Authorized OfficialKelly Russo StoneCeo; Owner; Occupational Therapist · (678) 462-2923
Enumeration DateSeptember 30, 2011
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
NPI 1902180573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyOccupational Therapist · NeurorehabilitationRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XN1300X
Also ListedOccupational Therapist · Mental HealthTaxonomy 225XM0800X
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X
505 LOUVOIS ST, Mandeville, LA 70448

Other Identifiers 1

Medicaid2450514LA

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Occupational Therapist (Pediatrics)
505 LOUVOIS ST
MANDEVILLE, LA 70448

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 Russo Rehabilitation, LLC's NPI number?

The NPI number for Russo Rehabilitation, LLC is 1902180573. It was assigned to this organization in the NPPES registry on September 30, 2011.

Where is Russo Rehabilitation, LLC located?

Russo Rehabilitation, LLC is located at 505 Louvois St, Mandeville, LA 70448. The listed phone number is (678) 462-2923.

What is Russo Rehabilitation, LLC's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Neurorehabilitation, with taxonomy code 225XN1300X.

When was this NPI record last updated?

The NPPES record for Russo Rehabilitation, LLC was last updated on June 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.