Active NPI
Susanne S Russell, OT
- Ergonomics Occupational Therapist
- Waltham, MA
National Provider Identifier
1417921826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ergonomics Occupational Therapist
- License
- 2014
- Practice address
- 9 Hope Ave
Waltham, MA 02453-2741 - Phone
- (781) 216-2228
- NPI assigned
- Feb 14, 2006
- 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 |
|---|---|---|---|---|
| Ergonomics Occupational Therapist | 225XE1200X | 2014 | MA | Primary |
Addresses
Primary practice location
9 Hope Ave
Waltham, MA 02453-2741
Mailing address
10 Jordan Ter
Wakefield, MA 01880-2668
Phone (781) 245-6161
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 |
|---|---|---|---|
| 2014 | MA | MD | Ergonomics Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1417921826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 JORDAN TER",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018802668",
"telephone_number": "781-245-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 HOPE AVE",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024532741",
"telephone_number": "781-216-2228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "SUSANNE",
"middle_name": "S",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225XE1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Ergonomics",
"state": "MA",
"license": "2014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- 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.