Russell Emmett Davis III, OTR/L

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT7148 Issued in FL

Practice address

1341 Medical Park Dr
Melbourne, FL 32901-3235

Phone

(321) 728-7418

Fax

(321) 728-7403

NPI assigned

Mar 25, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265492938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 TEQUESTA HARBOR DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329527107",
            "telephone_number": "321-449-0894",
            "fax_number": "321-449-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 MEDICAL PARK DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013235",
            "telephone_number": "321-728-7418",
            "fax_number": "321-728-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RUSSELL",
        "middle_name": "EMMETT",
        "name_suffix": "III",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT7148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Lee Davis, M.S. BCBA
• Georgia Ann Davis, M.D.
• Kassandra Davis, BCBA
• Nikolay Davis, MD
• Richard Perry Davis, M.D.
• Shana Dawn Davis
• Stacy Ann Marie Davis, MD
• Davisse Micro Art
• Dawn a. Huggins LCSW PLLC
• Walter H Day Jr.

• Hand Occupational Therapist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Hand Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.