MITCHELL RUSSO (NPI# 1285267617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285267617 |
| Entity Type | Individual |
| Full Name | MITCHELL RUSSO |
| Credential | DPT |
| Practice Address |
15004 Innovation Dr San Diego CA 92128-3491 |
| Mailing Address |
10790 Rancho Bernardo Rd Mail Drop 4s-205 In Address 2 Box San Diego CA 92127 |
| Practice Telephone | 8586057189 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 297093 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548684558 | Mitchell Russo | Early Intervention Provider Agency | 234 Sara Ct, Yorktown Heights, NY 10598-3839 | 2014-02-11 |
| Street Address |
15004 INNOVATION DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-3491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851376222 | Scripps Clinic Medical Group | Clinic/Center | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2005-12-08 |
| 1023642097 | Amy Joelle Chamberlain | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-27 |
| 1790318715 | Cameron Devany | Speech-Language Pathologist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-18 |
| 1851924252 | Janelle Marie Wilson | Physical Therapy Assistant | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-14 |
| 1427681873 | Lucy Santillan | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-13 |
| 1740813112 | Monique Munro Werner | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-13 |
| 1003449422 | Margaret Ann Fuller | Occupational Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-13 |
| 1023641586 | Katie Jo Rodgers | Speech-Language Pathologist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-12 |
| 1649802166 | Irina Keefer | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-12 |
| 1912539537 | Kelly Hullihan | Speech-Language Pathologist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1760097836 | Eileen Salonga | Physical Therapist | 3840 Pendiente Ct Apt U103, San Diego, CA 92124-3726 | 2020-09-15 |
| 1356953608 | Holly Alves | Physical Therapist | 3850 Xenophon St, San Diego, CA 92107-1615 | 2020-08-18 |
| 1982216461 | Mallari Snyder Physical Therapy P.C. | Physical Therapist | 3636 4th Ave Ste 200, San Diego, CA 92103-4237 | 2020-08-17 |
| 1639780851 | Jaime Zinn | Physical Therapist | 7760 Pipit Pl, San Diego, CA 92129-4528 | 2020-08-11 |
| 1134737570 | Louis Noel Quintana | Physical Therapist | 1615 32nd St, San Diego, CA 92102-1607 | 2020-07-22 |
| 1467070821 | Dionisio Wilkins | Physical Therapist | 3455 Kearny Villa Rd Apt 158, San Diego, CA 92123-1975 | 2020-07-10 |
| 1730706862 | Function In Movement Physical Therapy | Physical Therapist | 1351 Reed Ave Apt 1, San Diego, CA 92109-5133 | 2020-07-06 |
| 1255956876 | Melanie Elizabeth Hoad | Physical Therapist | 7858 Cowles Mountain Ct Unit D11, San Diego, CA 92119-2549 | 2020-06-09 |
| 1265056006 | Michael Andrew Williams | Physical Therapist | 11165 Caminito Vista Serena, San Diego, CA 92131-3304 | 2020-06-07 |
| Find all providers in SAN DIEGO | ||||
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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.