Active NPI
Ellen M Russell, OTR
- Occupational Therapist
- Tucson, AZ
National Provider Identifier
1366565392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3252
- Practice address
- 750 N Rosemont
Tucson, AZ 85711 - Phone
- (520) 232-8300
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3252 | AZ | Primary |
Addresses
Primary practice location
750 N Rosemont
Tucson, AZ 85711
Mailing address
4330 N Vereda Rosada
Tucson, AZ 85750-6332
Phone (520) 615-6215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3252 | AZ | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366565392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 N VEREDA ROSADA",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857506332",
"telephone_number": "520-615-6215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 N ROSEMONT",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85711",
"telephone_number": "520-232-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "ELLEN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "3252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.