BEATA RUSSO (NPI# 1104157148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104157148 |
| Entity Type | Individual |
| Full Name | BEATA RUSSO |
| Credential | M.ED, OTR/L |
| Practice Address |
561 King St South Windsor CT 06074 |
| Mailing Address |
850 Clark St Unit 1382 South Windsor CT 06074-7755 |
| Practice Telephone | 8609690207 |
| Mailing Telephone | 8609690207 |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 002840 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
561 KING ST |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093164840 | Jennifer Bellody | Occupational Therapist | 158 Orchard Hill Dr, South Windsor, CT 06074-3023 | 2016-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190660 | Iron Health LLC | Occupational Therapist | 28 Cortland Way, Southington, CT 06489-2460 | 2020-10-05 |
| 1770190290 | Michelle Ann Serbent | Occupational Therapist | 4 County Rd, Killingworth, CT 06419-1004 | 2020-09-29 |
| 1669088100 | Andrea Blake | Occupational Therapist | 17 Woodchuck Ln, Wilton, CT 06897-3427 | 2020-09-21 |
| 1619583135 | Jenna Rose Diblanda | Occupational Therapist | 500 Bedford St Apt 445, Stamford, CT 06901-1525 | 2020-09-21 |
| 1013523075 | Theresa Lundquist | Occupational Therapist | 263 Sharon Dr, Cheshire, CT 06410-4200 | 2020-09-16 |
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1841802543 | Jocelyn Rose Perun | Occupational Therapist | 161 Broad St, Plainville, CT 06062-2103 | 2020-08-24 |
| 1275151466 | Kristin Marie Wolak | Occupational Therapist | 111 Towne St Apt 211, Stamford, CT 06902-5970 | 2020-07-14 |
| 1073131207 | Annya Kathleen Macdonald | Occupational Therapist | 1204 Main St Ste 218, Branford, CT 06405-3787 | 2020-07-14 |
| 1205451663 | Restore Mobile Therapy LLC | Occupational Therapist | 6 Logging Trail Ln, Brookfield, CT 06804-1345 | 2020-06-11 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.