MAREDITH ANNE RUSSO (NPI# 1740709070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740709070 |
| Entity Type | Individual |
| Full Name | MAREDITH ANNE RUSSO |
| Credential | PT, DPT |
| Practice Address |
955 Ribaut Rd Beaufort SC 29902 |
| Mailing Address |
955 Ribaut Rd Beaufort SC 29902-5441 |
| Practice Telephone | (843) 522-5900 |
| Mailing Telephone | 8435225900 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
8612 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
955 RIBAUT RD |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366436073 | Beaufort County Memorial Hospital | General Acute Care Hospital | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2005-09-08 |
| 1083270995 | Taylor D Robinson | Nurse Practitioner | 955 Ribaut Rd, Beaufort, SC 29902-5454 | 2019-05-15 |
| 1851868244 | Roxanne Davis Cote | Dietitian, Registered | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2018-10-24 |
| 1023585411 | Jessica Marie Hausfeld | Dietitian, Registered | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2018-10-24 |
| 1366917940 | Lydia C Wickenhoefer | Dietitian, Registered | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2018-10-10 |
| 1871091199 | Michael Conner Seepe | Nurse Anesthetist, Certified Registered | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2018-02-01 |
| 1356849814 | Charlotte Seepe | Nurse Anesthetist, Certified Registered | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2018-01-30 |
| 1063928935 | Beaufort Memorial Hospital - Navy Resource Sharing | General Acute Care Hospital | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2017-12-14 |
| 1548773583 | Beaufort Physician Partners | Clinic/Center | 955 Ribaut Rd, Beaufort, SC 29902 | 2017-11-13 |
| 1982116182 | Harmony Tucker | Physical Therapist | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2017-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932333192 | Lindsay Taylor Garrison | Physical Therapist | 989 Ribaut Rd, Beaufort, SC 29902-5472 | 2009-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244756 | Cathy Schreiber | Physical Therapist | 2387 Lantern St, Charleston, SC 29414-4850 | 2020-08-08 |
| 1982221016 | Milestones & Movement Pediatric Physical Therapy, LLC | Physical Therapist | 206 Calm Water Way, Summerville, SC 29486-6902 | 2020-07-06 |
| 1114559192 | Stephen Bendziewicz | Physical Therapist | 206 Blackstone Dr, Irmo, SC 29063-7838 | 2020-02-07 |
| 1811467939 | Upstate Therapy Works | Physical Therapist | 256 Dellwood Dr, Spartanburg, SC 29301-5023 | 2018-12-01 |
| 1518433028 | Kimberly (kim) Fowler King | Physical Therapist | 334 Monroe Dr, Piedmont, SC 29673-9731 | 2018-10-23 |
| 1346725306 | Walker Physical Therapy & Wellness, LLC | Physical Therapist | 4720 Grey Moss Dr, Clover, SC 29710-8706 | 2018-09-26 |
| 1104313261 | Purposeful Play Pediatric Physical Therapy, LLC | Physical Therapist | 17 Plantation Cir, Summerville, SC 29485-3474 | 2018-04-15 |
| 1649785270 | Jaunitha Magwood | Physical Therapist | 124 Lisa Dr, Summerville, SC 29485-5307 | 2017-12-05 |
| 1629587191 | Playxcience LLC | Physical Therapist | 2023 Taney Way, Indian Land, SC 29707-7488 | 2017-09-27 |
| 1598281255 | Developmental Center for Exceptional Children | Physical Therapist | 1100 West Franklin Street, Anderson, SC 29624 | 2017-08-15 |
| Find all providers with the same taxonomy | ||||
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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.