SAMANTHA L RUSSELL


Address: 10435 Midtown Pkwy, Unit 152, Jacksonville, FL 32246-7483
Phone: 7726210183

SAMANTHA L RUSSELL (NPI# 1194125567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194125567
Entity Type Individual
Full Name SAMANTHA L RUSSELL
Credential MOT
Practice Address 10435 Midtown Pkwy
Unit 152
Jacksonville
FL 32246-7483
Practice Telephone 7726210183
Enumeration Date 2014-09-03
Last Update Date 2014-09-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics 		OT15232 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers SAMANTHA RUSSELL

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1780204404 Samantha Cody Russell Student in an Organized Health Care Education/Training Program Unm Health Sciences Center Msc09-5030, Albuquerque, NM 87131 2020-04-22
1225379092 Samantha Jane Russell Occupational Therapist 8801 Mcclellan Cir, Anchorage, AK 99502-5587 2013-03-04
1508410705 Samantha D Russell Counselor 103 2nd Ave, Chesapeake, OH 45619-1134 2019-07-26
1952864332 Samantha Jane Russell Internal Medicine 1501 N Campbell Ave, Tucson, AZ 85724-0001 2019-04-11
1255878740 Samantha Heather Russell Nurse Practitioner 3901 Rainbow Blvd, Mail Stop 2018, Kansas City, KS 66160-8500 2017-01-23
1598108805 Samantha Russell Student in an Organized Health Care Education/Training Program 1330 Lincoln Ave, # 201, San Rafael, CA 94901 2013-04-17
1972736171 Samantha R Russell Counselor 206 Porr Dr, Ruidoso, NM 88345-6713 2009-09-03

Office Location

Street Address 10435 MIDTOWN PKWY
UNIT 152
City JACKSONVILLE
State FL
Zip Code 32246-7483

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578882064 Darla Darty Speech-Language Pathologist 10435 Midtown Pkwy, Jacksonville, FL 32246-7483 2010-05-23

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NPI Name Taxonomy Address Enumeration
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1205399946 Usa United Surgical Assistants Clinic/Center Bahri Surgical Center, 9726 Touchton Rd, Jacksonville, FL 32246 2019-04-10
1780173526 Jules Novall LLC Taxi 4600 Touchton Rd, Jacksonville, FL 32246 2018-05-08
1740636307 Jonathan David Browning Psychiatry & Neurology 4884 Deer Creek Drive W, Jacksonville, FL 32246 2016-05-12
1952770463 Alignment Healthcare Florida LLC Clinic/Center 3520-1 St. Johns Bluff Rd., Jacksonville, FL 32246 2015-09-15
1558739417 Jessica Brake Physical Therapist 9726 Touchton Road, Suite 104, Jacksonville, FL 32246 2015-09-09
1043686256 Healthyeye Dba Vision Express LLC Optometrist 4871 Town Center Parkway #5, Jacksonville, FL 32246 2015-08-12
1477954675 Joanivette Rodriguez Psychologist 3451 Saland Way Apt 504, Jacksonville, FL 32246 2014-09-08
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114322260 Candy Sharon Lucero Occupational Therapist 8563-2 Argyle Business Loop, Jacksonville, FL 32244 2014-10-31
1104077536 Terri Lynne Schuldt Occupational Therapist 9157 Timbermill Ct, Jacksonville, FL 32256-6707 2008-10-03
1366654972 Michelle Lee Keaton Occupational Therapist 712 Foxwood Dr, Jacksonville, AR 72076-2642 2007-05-04
1114972411 Speech 4 Kidz Inc. Occupational Therapist 58 Office Park Dr, Jacksonville, NC 28546-3218 2006-05-24
1447720990 Quenicia Natai Nobles Occupational Therapist 200 Broadhurst Rd, Jacksonville, NC 28540-3551 2018-11-27
1710472014 Danielle Renee Maxson Occupational Therapist 3663 Crown Point Ct, Jacksonville, FL 32257-5967 2018-06-28
1215434980 Pediatric Center for Excellence, LLC Occupational Therapist 13241 Bartram Park Blvd Unit 209, Jacksonville, FL 32258-5233 2018-04-10
1417383316 Shelley Luke Occupational Therapist 800 Prudential Dr, Howard Building Suite 612, Jacksonville, FL 32207-8202 2013-09-24
1851725063 Megan Cable Rossovskij Occupational Therapist 410 New Bridge St Ste 10a, Jacksonville, NC 28540-4700 2013-08-23
1295177509 Alicia Lynn Nance Occupational Therapist 410 New Bridge St, Suite 10-a, Jacksonville, NC 28540-4739 2013-07-28
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Competitor

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City JACKSONVILLE
Zip Code 32246

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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