Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evelyn Russo, OTR/L

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1548012032

Evelyn Russo, OTR/L is an Occupational Therapist in Private Practice in New York, New York. Qualified in 2023, 3 years ago. Practices with Spear Physical and Occupational Therapy, LLC, a 577-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2024
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1157 3rd Ave
New York, NY 10065-6039
Phone: (646) 222-9360
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 028396 (NY)

Record details

NPI number1548012032
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedApril 5, 2024
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Spear Physical And Occupational Therapy, Llc — 577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New York