Judith Ann Russell, COTA/C

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

005258-1 Issued in NY

Practice address

2495 Main St
Suite 234
Buffalo, NY 14214-2152

Phone

(716) 836-5929

Fax

(716) 836-6057

NPI assigned

Jan 18, 2011

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

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 and National Provider Directory roles.

• Optimal Occupational and Physical Therapy Associates Services PLLC

  • Occupational Therapist
  • Buffalo, NY
  • NPI 1497927263
  NPD (past)

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1477858744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 JACKSON AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202603",
            "telephone_number": "716-692-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 MAIN ST",
            "address_2": "SUITE 234",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142152",
            "telephone_number": "716-836-5929",
            "fax_number": "716-836-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "COTA/C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "005258-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Michael Russell, PHARMD
• Catherine Ann Russell
• Debra L Russell, LCSWR
• Hailey Dylana Russell
• Joel D Russell, LMSW
• Laura Mary Russell
• Mary Anne Russell, MS, CCC-SLP
• Meghan Russell, M.S., C.A.S.
• James Henry Russillio, RN, BSN, CRNA
• Anna K Russo, PA-C

• Occupational Therapy Assistant in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.