Russell John Deshaies, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

11544 Issued in MA

Practice address

841 Merrimack St
Lowell, MA 01854-3500

Phone

(978) 459-0546

NPI assigned

Apr 26, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Legacy Healthcare Services Massachusetts LLC

  • Physical Therapist
  • Westborough, MA
  • NPI 1962108761
  NPD

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

{
    "created_epoch": "1430006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430006400000",
    "number": "1053708271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 MERRIMACK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 MERRIMACK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543500",
            "telephone_number": "978-459-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHAIES",
        "first_name": "RUSSELL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-26",
        "last_updated": "2015-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "11544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sweta A. Desai, MD
• Vidhi K Desai, FNP-BC
• Vanessa Desani
• Kelly Anne Desantis
• Ann Mary Descoteaux, F.N.P.
• Carolynn Deshler, HBCE
• Olivia Desilets
• Desjardins Management Inc.
• Kelly Anne Desjardins, B.A.
• Andrea Jennifer Desmond, APRN, AGACNP-BC

• Occupational Therapist in Lowell, MA
• Providers in Lowell, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.