Active NPI
Helen Russell
- Occupational Therapist
- Boothbay Harbor, ME
National Provider Identifier
1205310208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT4215
- Practice address
- 6 Saint Andrews LN
Boothbay Harbor, ME 04538-1731 - Phone
- (207) 633-8423
- NPI assigned
- Sep 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | |||
| Occupational Therapist | 225X00000X | OT4215 | ME | Primary |
Addresses
Primary practice location
6 Saint Andrews LN
Boothbay Harbor, ME 04538-1731
Mailing address
6 Saint Andrews LN
Boothbay Harbor, ME 04538-1731
Other practice location 1
3180 Professional Plz Ste 101
Germantown, TN 38138-1534
Phone (901) 328-2110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT4215 | ME | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JH & Associates, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Janna Hacker and Associates
- Speech-Language Pathologist
- Germantown, TN
- NPI 1972808301
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1205310208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 SAINT ANDREWS LN",
"city": "BOOTHBAY HARBOR",
"state": "ME",
"postal_code": "045381731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 SAINT ANDREWS LN",
"city": "BOOTHBAY HARBOR",
"state": "ME",
"postal_code": "045381731",
"telephone_number": "207-633-8423"
}
],
"practiceLocations": [
{
"address_1": "3180 Professional Plz Ste 101",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381381534",
"country_code": "US",
"telephone_number": "901-328-2110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSELL",
"first_name": "HELEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-17",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT4215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boothbay Harbor, ME
- Heather Elizabeth Power, MSOTR/L
- Richard Russell Powis, RPH
- Bonnie L. Rademacher-Flis, CNP
- Melody Lisa Rees, FNP
- Rite Aid of Maine Inc (Rite Aid Pharmacy 03891)
- Lisa S Splittstoesser, M.D.
- St. Andrews Hospital (St. Andrews Home Health)
- Paul E. Taylor, M.D.
- The Boothbay Chiropractor
- Thomas P. Nadeau,O.D.,P.C. (Sheepscot Eye Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.