Melanie Kristen Russell, MSOT, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT21604 Issued in FL

Practice address

10960 Town Ter Apt 207
Royal Palm Beach, FL 33414-6550

Phone

(719) 229-7907

NPI assigned

Mar 11, 2021

Last updated

Mar 11, 2021By the provider in NPPES

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

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": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1295310126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10960 TOWN TER APT 207",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334146550",
            "telephone_number": "719-229-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10960 TOWN TER APT 207",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334146550",
            "telephone_number": "719-229-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MELANIE",
        "middle_name": "KRISTEN",
        "credential": "MSOT, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RPB Pediatric Dentistry PA (Junior Smiles of Royal Palm Beach)
• RPB Senior Living, LLC (Inspired Living Royal Palm Beach)
• Anabel Rubio
• Tracy Michelle Ruggiero, COTA/L
• Sebastian Ruiz
• Timothy A Russell
• Kathryn M Sadler, OTR/L
• Safe Place Psychiatry
• Sage Dental of Royal Palm Beach, PLLC
• Aris D Sahagian, MD

• Occupational Therapist in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.