Janet M Russenberger, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR934 Issued in AR

Practice address

7540 N 19TH Ave
Suite 200
Phoenix, AZ 85021-7967

Phone

(188) 887-3422

NPI assigned

Feb 25, 2011

Last updated

Feb 25, 2011By the provider in NPPES

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 identifiers 1

Other names 1

• Janet R McKinney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1144527219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BOBBY REAPER RD",
            "city": "PANGBURN",
            "state": "AR",
            "postal_code": "721219771",
            "telephone_number": "501-728-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 N 19TH AVE",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217967",
            "telephone_number": "188-887-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSENBERGER",
        "first_name": "JANET",
        "middle_name": "M",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128094721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "MCKINNEY",
            "middle_name": "R",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kadeazana Russell
• Kelly Yvette Russell, MD
• Larry Doby Russell, D.D.S.
• Mary Eileen Kumah Russell, ACNP
• Patricia Russell
• Daniela Cotrim Russi, M.D.
• Aubriana K Russo, RBT
• Cara Anne Russo, PHARMD, RPH
• Susan Marie Russo, BSN, RNC
• Amy Elizabeth Rust, PA-C, ATC

• Occupational Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.