Sherry Lynn Russak, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

006223-1 Issued in NY

Practice address

253 Lakefront Blvd
Buffalo, NY 14202-4316

Phone

(716) 854-1790

Fax

(716) 662-5700

NPI assigned

Oct 18, 2007

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

• Mrs. Sherry Lynn Russak Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1164611869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 LAKEFRONT BLVD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142024316",
            "telephone_number": "716-854-1790",
            "fax_number": "716-662-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 LAKEFRONT BLVD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142024316",
            "telephone_number": "716-854-1790",
            "fax_number": "716-662-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSAK",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "006223-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "RUSSAK",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "O.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Suzanne Ruska, MS/CCC/SLP
• Joseph G. Rusnak, MD
• Mary Ann Rusnak
• Patricia Cecelia Russ, RPH
• Edward Morry Russak, RPH
• Brian Michael Russell, PHARMD
• Catherine Ann Russell
• Debra L Russell, LCSWR
• Hailey Dylana Russell
• Joel D Russell, LMSW

• Occupational Therapist in Buffalo, NY
• Providers in Buffalo, 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 Jan 9, 2008; 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.