RUSSELL EMMETT DAVIS III (NPI# 1265492938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265492938 |
| Entity Type | Individual |
| Full Name | RUSSELL EMMETT DAVIS III |
| Credential | OTR/L |
| Practice Address |
1341 Medical Park Dr Melbourne FL 32901-3235 |
| Mailing Address |
108 Tequesta Harbor Dr Merritt Island FL 32952-7107 |
| Practice Telephone | 3217287418 |
| Practice Fax Number | 3217287403 |
| Mailing Telephone | 3214490894 |
| Mailing Fax Number | 3214490894 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT7148 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154745206 | Russell Davis | Pharmacist | Km 130.1 Cuatro C, Paseo Del Faro Pr, Arroyo, PR 00714 | 2014-02-10 |
| 1336344316 | Russell Allen Davis | Acupuncturist | 6135 Acorn St, San Diego, CA 92115-4006 | 2007-06-19 |
| 1285766410 | Russell Leroy Davis | Dentist | 950 I St, Arcata, CA 95521-6158 | 2007-03-12 |
| 1962562793 | Russell Eric Davis | Specialist | Physical Therapy Madigan Army Medical Ctr, Building 9040, Fitzsimmons Drive, Tacoma, WA 98431-0001 | 2006-12-11 |
| 1376644799 | Russell C Davis | Podiatrist | 2 Bon Air Rd Ste 150, Larkspur, CA 94939-1142 | 2006-09-26 |
| 1801908496 | Russell Minor Davis | Dentist | 2204 Sunrise Blvd, Fort Pierce, FL 34950-5367 | 2006-08-31 |
| 1982607966 | Russell Kelso Davis | Chiropractor | 318 E. Main St., Havelock, NC 28532-2214 | 2005-05-24 |
| 1558976217 | Russell Davis | Case Manager/Care Coordinator | 10 West St, Concord, NH 03301-3548 | 2020-09-10 |
| 1619504214 | Russell Davis | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-24 |
| 1821593203 | Russell Davis | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr, Mobile, AL 36617-2300 | 2018-03-27 |
| Street Address |
1341 MEDICAL PARK DR |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293859 | Atlantic Orthopaedic Group Pa | Specialist | 1341 Medical Park Dr, Ste 201, Melbourne, FL 32901-3235 | 2005-05-23 |
| 1942678958 | Mark William Snavely | Physician Assistant | 1341 Medical Park Dr, Suite 201, Melbourne, FL 32901-3235 | 2015-09-08 |
| 1679802599 | Coastline Imaging Inc | Occupational Therapy Assistant | 1341 Medical Park Dr, Ste. 202, Melbourne, FL 32901-3235 | 2009-12-24 |
| 1861663239 | Andrew T Sander | Physician Assistant | 1341 Medical Park Dr, Suite 201, Melbourne, FL 32901-3235 | 2008-03-13 |
| 1437330750 | Coastline Imaging Inc | Specialist | 1341 Medical Park Dr, Suite 101, Melbourne, FL 32901-3235 | 2007-11-15 |
| 1134262710 | Stephen Emile Theriault | Physician Assistant | 1341 Medical Park Dr, Suite 201, Melbourne, FL 32901-3235 | 2007-02-14 |
| 1568569531 | Terry David Johnson | Occupational Therapist | 1341 Medical Park Dr, 201, Melbourne, FL 32901-3235 | 2006-09-20 |
| 1740271717 | David W Ferguson | Physician Assistant | 1341 Medical Park Dr, 201, Melbourne, FL 32901-3235 | 2005-10-31 |
| 1093706079 | Margaret L Avilla | Physician Assistant | 1341 Medical Park Dr, 201, Melbourne, FL 32901-3235 | 2005-10-31 |
| 1447256284 | Josse Anthony Mazo-mayorquin | Psychiatry & Neurology | 1341 Medical Park Dr, Suite 101 A, Melbourne, FL 32901-3235 | 2005-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902874035 | Suzanne M Hale | Occupational Therapist | 689 S Apollo Blvd, Melbourne, FL 32901-1455 | 2006-03-14 |
| 1285693523 | Sandra Zanetti | Occupational Therapist | 747 Apollo Blvd, Melbourne, FL 32901 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902514 | The Gulfside Group, LLC | Occupational Therapist | 711 Crystal Lake Rd, Lutz, FL 33548-6431 | 2020-08-14 |
| 1730726472 | Peter James Wise | Occupational Therapist | 11286 Boyette Rd, Suite 101, Riverview, FL 33569 | 2019-12-02 |
| 1326689209 | Healing Hands Therapy Group | Occupational Therapist | 1699 Sw 27th Ave Fl 3, Miami, FL 33145-2074 | 2019-10-02 |
| 1093222820 | Janna Randolph | Occupational Therapist | 4551 N Davis Hwy Ste C, Pensacola, FL 32503-2732 | 2018-01-02 |
| 1154843787 | Karen Lopez Jimenez | Occupational Therapist | 100 Waymont Ct Ste 120, Lake Mary, FL 32746-3412 | 2017-07-14 |
| 1255860433 | Life In Motion Physical & Hand Therapy | Occupational Therapist | 9021 Oakhurst Rd Ste A, Seminole, FL 33776-2156 | 2017-06-09 |
| 1902343775 | Darleen Walker | Occupational Therapist | 7243 Della Dr., Orlando, FL 32819 | 2017-01-31 |
| 1992156046 | Rachelle Delucas | Occupational Therapist | 7800 Sw 103rd Ave, Gainesville, FL 32608-6208 | 2016-06-29 |
| 1346658481 | Andrew Craig | Occupational Therapist | 4420 Sheridan St Ste A, Hollywood, FL 33021-3552 | 2014-07-31 |
| 1194152439 | Life In Motion Physical & Hand Therapy | Occupational Therapist | 9125 Us Highway 19 N, Pinellas Park, FL 33782-5406 | 2013-10-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RUSSELL EMMETT DAVIS III.
| 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.