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

Joseph Russo

Individual provider Occupational Therapist · NPI 1558295022

Joseph Russo is an Occupational Therapist in Private Practice in Longmeadow, Massachusetts. Qualified in 2025, 1 year ago. Practices with Prestige Rehab CT PLLC, a 14-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
1
Licensed in
CT
In the registry since
2026
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Practice location Address checks out

110 Lawnwood Ave
Longmeadow, MA 01106-3021
Phone: (413) 875-2356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 6843 (CT)

Record details

NPI number1558295022
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 10, 2026
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address110 Lawnwood Ave, Longmeadow, MA 01106-3021

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Prestige Rehab Ct Pllc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Longmeadow