Russell J Jaffe, OT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT21328 Issued in FL

Practice address

1201 Piper Blvd Ste 18
Naples, FL 34110-1385

Phone

(239) 593-3010

Fax

(239) 593-3033

NPI assigned

Jan 12, 2021

Sex

Male

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

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Physical Therapy of NaplesGroup PAC ID 8820072101, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Performance Physical Therapy of Naples

  • Physical Therapist
  • Naples, FL
  • NPI 1144337452

  Hand

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1659960060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PIPER BLVD STE 18",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101385",
            "telephone_number": "239-593-3010",
            "fax_number": "239-593-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PIPER BLVD STE 18",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101385",
            "telephone_number": "239-593-3010",
            "fax_number": "239-593-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "RUSSELL",
        "middle_name": "J",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT21328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Madigan DPT LLC
• Aaron Matthew Jacobs, MD
• Brian Jacobson
• Michael Thomas Jacobson, M.D.
• Peter John Jaffe, D.O.
• Renee Jakymec, PA
• Robert Jalosinski, M.D.,
• James Haakenson DC, LLC
• James Halikas MD LLC
• James J Buonavolonta MD PA

• Hand Occupational Therapist in Naples, FL
• Providers in Naples, FL by specialty
• Hand Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.