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

Mary Kathleen Russo, MSOTR/L

Individual provider Physical Rehabilitation Occupational Therapist · NPI 1003049230

Mary Kathleen Russo, MSOTR/L is a Physical Rehabilitation Occupational Therapist in Brownsburg, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2009

Practice location Address checks out

3775 Country Ln
Brownsburg, IN 46112-8375
Phone: (317) 858-9828
Show map & directions

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

Specialties & licences

Physical Rehabilitation Occupational Therapist (primary) Taxonomy 225XP0019X · Licence 31003367A (IN)

Record details

NPI number1003049230
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTR/L
Sole proprietorYes
NPI enumeratedSeptember 4, 2009
Last updated in NPPESSeptember 4, 2009