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

Individual provider Occupational Therapist · NPI 1093918989

Mr. Weldon K Russo, OTR is an Occupational Therapist in Private Practice in Fort Worth, Texas. Qualified in 1999, 27 years ago. Practices with Endeavor Rehab Center Inc, a 125-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
27
Licensed in
TX
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

7277 Hawkins View Dr
Fort Worth, TX 76132-3921
Phone: (817) 423-5611
Fax: (817) 423-5577
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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 109622 (TX)

Record details

NPI number1093918989
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedJune 7, 2007
Last updated in NPPESSeptember 17, 2009

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Endeavor Rehab Center Inc — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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