Stephanie Russell, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

63020861 Issued in NY

Practice address

70 Westcliff Dr
Mount Sinai, NY 11766-2220

Phone

(631) 681-1883

NPI assigned

Aug 24, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Jacob Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medcare Therapy Services:Physical, Occupational & Massage Therapy,PLLC

  • Physical Therapist
  • Holbrook, NY
  • NPI 1326355132

  Occupational Therapist

  Medicare reassignment NPD
• Link Home Therapy Services of Ny-PT OT SLP PLLC

  • Physical Therapy Clinic/Center
  • Valley Stream, NY
  • NPI 1942782966
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1013462571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WESTCLIFF DR",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662220",
            "telephone_number": "631-681-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WESTCLIFF DR",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662220",
            "telephone_number": "631-681-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "STEPHANIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "63020861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "JACOB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin M Reilly, D.D.S.
• Michelle Lynne Reynolds, M.S. ED
• Robert B Marder Physical Therapy PC
• Ivonne Marta Romero, LCSW
• Annemarie Ronan Henninger, MS PT
• Diane Rutkowsky, M.A.
• Socorro Rutman
• Christina Salgado, PT
• Jennifer Anne Saul, FNP
• Michele Scalamandre, RN

• Occupational Therapist in Mount Sinai, NY
• Providers in Mount Sinai, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.