What is Theresa Russo's NPI number?

Theresa Russo's National Provider Identifier (NPI) is 1063368223, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Theresa Russo's specialty?

Theresa Russo is listed in the NPPES registry with a primary specialty of Chiropractor (Chiropractic Providers).

Where is Theresa Russo located?

Theresa Russo's practice location on file with NPPES is 315 Pebblebrook Dr, El Lago, TX 77586-6010.

What is Theresa Russo's phone number?

The practice phone number listed in the NPPES registry for Theresa Russo is (815) 735-1852.

Is Theresa Russo's NPI active?

Yes — Theresa Russo's NPI (1063368223) is active in the NPPES registry as of the last update on 2026-03-09.

IndividualActive

Theresa Russo

NPI 1063368223 · Chiropractor · El Lago, TX

Theresa Russo is a Chiropractor provider in El Lago, TX (NPI 1063368223).

Provider details

NPI number: 1063368223
Entity type: Individual
Primary specialty: ChiropractorChiropractic Providers
Sex: Female
Sole proprietor: Yes
License: 16772 (TX)

Specialties & taxonomies

ChiropractorPrimary111N00000XLicense 16772 (TX)
Chiropractic Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

315 Pebblebrook Dr

El Lago, TX 77586-6010

Phone: (815) 735-1852

Street-level locationGet directions

More TX providers

Mailing address