Individual provider Active NPI

Rachel Russell, OTD,OTR

  • Occupational Therapist
  • Indianapolis, IN
National Provider Identifier
1235005034
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31008834A Issued in IN
Practice address
7424 Shadeland Station Way
Indianapolis, IN 46256-3925
Phone
(317) 912-4620
Fax
(317) 912-4621
NPI assigned
Oct 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31008834A IN Primary

Addresses

Primary practice location

7424 Shadeland Station Way
Indianapolis, IN 46256-3925

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258

Other practice location 1

6640 Parkdale Pl Ste T
Indianapolis, IN 46254-4698
Phone (317) 808-7070

Other practice location 2

1992 E Stop 13 Rd
Indianapolis, IN 46227-6267
Phone (317) 808-0230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251201002225 IN Practitioner - Occupational Therapist in Private Practice 1456844232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Indiana University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Rehabilitation Services LLCGroup PAC ID 2264479518, 569 clinicians

Practice addresses (Care Compare)

7424 Shadeland Station Way
Indianapolis, IN 46256-3925
Phone (317) 912-4620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31008834AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC CurrentSince Oct 27, 2025 Accepting new patients
Team Rehabilitation Services, LLC Occupational Therapist CurrentSince Oct 27, 2025 Accepting new patients

Locations

6640 Parkdale Pl
Ste T
Indianapolis, IN 46254
Phone (317) 808-7070

7424 Shadeland Station Way
Indianapolis, IN 46256
Phone (317) 288-7606

1992 E Stop 13 Rd
Indianapolis, IN 46227
Phone (317) 808-0230

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1235005034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 SHADELAND STATION WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563925",
            "telephone_number": "317-912-4620",
            "fax_number": "317-912-4621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6640 Parkdale Pl Ste T",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462544698",
            "country_code": "US",
            "telephone_number": "317-808-7070",
            "fax_number": "317-808-7073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1992 E Stop 13 Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462276267",
            "country_code": "US",
            "telephone_number": "317-808-0230",
            "fax_number": "317-808-0231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "RACHEL",
        "credential": "OTD,OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31008834A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.