Samantha Jane Russell, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2553 Issued in AK

Practice address

8801 McClellan Cir
Anchorage, AK 99502-5587

Phone

(907) 227-2434

NPI assigned

Mar 4, 2013

Sex

Female

Sole proprietor

Yes

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

Enrolled in AK

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Empower Therapeutics LLC

  • Physical Rehabilitation Occupational Therapist
  • Anchorage, AK
  • NPI 1932856473
  Medicare reassignment NPD Authorized official
• Empower Therapeutics LLC

  • Occupational Therapist
  • Anchorage, AK
  • NPI 1225897069
  NPD Authorized official

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1225379092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 MCCLELLAN CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995025587",
            "telephone_number": "907-227-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 MCCLELLAN CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995025587",
            "telephone_number": "907-227-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SAMANTHA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "2553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Russell
• Kelley Russell, PHD
• Kelley Russell
• Lisamarie Russell
• Rachel Russell
• Tamara Lynne Russell, PSYD
• Diane Russo
• Jamison Rust
• Theresa Rutchka, MS, LPC
• Ruth Dukoff, MD, PC

• Occupational Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.