VICTORIA LYN RUSSELL (NPI# 1508088584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508088584 |
| Entity Type | Individual |
| Full Name | VICTORIA LYN RUSSELL |
| Practice Address |
6884 Hickory Flat Hwy Woodstock GA 30188-3229 |
| Mailing Address |
285 Old Dawsonville Rd Ball Ground GA 30107-2931 |
| Practice Telephone | 7707048244 |
| Practice Fax Number | 7707048264 |
| Mailing Telephone | 6784541044 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 003654 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE GROUP | 511G701183 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730584749 | Victoria Elizabeth Russell | Speech-Language Pathologist | 1330 Langdon St, Apt. A, Alton, IL 62002-3610 | 2014-11-03 |
| 1730113812 | Victoria Russell | Psychiatry & Neurology | Box 520, 1986 Lower Elmore Mountain Road Box 520, Morrisville, VT 05661-0520 | 2006-07-11 |
| 1396243598 | Victoria Russell | Counselor | 7515 Greenville Ave Ste 1000, Dallas, TX 75231-3852 | 2018-01-23 |
| 1407213309 | Victoria Russell | Counselor | 4606 Lee St, Alexandria, LA 71302-3235 | 2016-01-22 |
| 1558606715 | Victoria Russell | Licensed Practical Nurse | 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221-7034 | 2012-11-29 |
| 1457462186 | Victoria Russell | Nurse Anesthetist, Certified Registered | 934 Center St, Elgin, IL 60120-2125 | 2006-08-31 |
| Street Address |
6884 HICKORY FLAT HWY |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188-3229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093746638 | Burton William Stevens Jr. | Physical Therapist | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 | 2006-07-05 |
| 1619502606 | Kathy Rosemary Menard | Massage Therapist | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 | 2020-03-10 |
| 1134772510 | Jean Marie Peters | Physical Therapist | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 | 2019-07-24 |
| 1629539218 | Nicole Martz Johnson | Massage Therapist | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 | 2019-03-27 |
| 1164987889 | Amy Tice | Physical Therapist | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 | 2019-02-06 |
| 1619446150 | Mary Gibson Dunn | Massage Therapist | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 | 2018-11-14 |
| 1780002451 | Danielle Beatty | Physical Therapist | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 | 2014-03-31 |
| 1083861785 | Soar Physical Therapy, Inc | Clinic/Center | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 | 2008-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285246249 | Rachel Deonna Wiles | Occupational Therapist | 13291 Highway 92, Woodstock, GA 30188-4455 | 2020-08-20 |
| 1639794175 | Cayla Lucille Woodburn | Occupational Therapist | 306 Wind Ship Ct, Woodstock, GA 30189-5287 | 2020-06-10 |
| 1861024721 | Emily Arispe | Occupational Therapist | 310 Burdock Trce, Woodstock, GA 30188-7040 | 2020-02-09 |
| 1467082388 | Payton A Modarelli | Occupational Therapist | 1000 Professional Pkwy, Woodstock, GA 30188-3873 | 2020-01-20 |
| 1376044693 | Alyssa Beth Wienke | Occupational Therapist | 2990 Raffel Rd, Woodstock, IL 60098-8466 | 2018-02-22 |
| 1366987398 | Axis Therapy Solutions | Occupational Therapist | 211 Hartland Hill Rd, Woodstock, VT 05091-7925 | 2016-12-29 |
| 1174968143 | Kimberly Ratway | Occupational Therapist | 2914 S Country Club Rd, Woodstock, IL 60098-7101 | 2013-05-05 |
| 1700136231 | Jennifer Caupain | Occupational Therapist | 1314 Timuquana Trl, Woodstock, GA 30188-3633 | 2012-09-12 |
| 1154694248 | Cari Lynn Stilke | Occupational Therapist | 2211 Dean St, Woodstock, IL 60098-7658 | 2012-02-20 |
| 1477824639 | Devon Rogers | Occupational Therapist | 4580 Towne Lake Pkwy, Woodstock, GA 30189-5521 | 2012-01-19 |
| Find all providers in WOODSTOCK | ||||
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| 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.