Mackenzie Ann Russell, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

125661 Issued in TX

Practice address

3809 S 2ND St Ste D200
Austin, TX 78704-7191

Phone

(512) 441-5100

NPI assigned

May 12, 2025

Last updated

May 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mackenzie Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cole Consolidated Rehab LLC

  dba Cole Pediatric Therapy

  • Rehabilitation Clinic/Center
  • San Marcos, TX
  • NPI 1023328192
  NPD (past)

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1306636410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 GINSBERG DR",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781543082",
            "telephone_number": "210-563-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 S 2ND ST STE D200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047191",
            "telephone_number": "512-441-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MACKENZIE",
        "middle_name": "ANN",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "125661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "MILLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ariel Russell
• Craig Allen Russell, M.ED., L.P.C.
• Jaye Russell, PT
• Katie Russell
• Kimberly A Russell, CRNA
• Merrill Wiley Russell III, D.D.S.
• Michael Adam Russell, D.O.
• Millian Russell
• Peggy M Russell, D.O.
• Shannon Louise Russell, PT, DPT

• Occupational Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.