ROBERT RUSSOW (NPI# 1790164507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790164507 |
| Entity Type | Individual |
| Full Name | ROBERT RUSSOW |
| Credential | MA, OTR/L |
| Practice Address |
11490 Braddock Dr Culver City CA 90230-5151 |
| Practice Telephone | 7083513092 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11490 BRADDOCK DR |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90230-5151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033522693 | Stephen Barbour | Occupational Therapist | 11490 Braddock Dr, Culver City, CA 90230-5151 | 2014-06-10 |
| 1043626724 | Evolve Occupational & Physical Therapy P.C. | Clinic/Center | 11490 Braddock Dr, Culver City, CA 90230-5151 | 2014-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558822064 | Smilemax Dental Center | Dentist | 10814 Jefferson Blvd. #g, Culver City, CA 90230 | 2019-03-27 |
| 1023532595 | Mary Alice Haye | Marriage & Family Therapist | 550 S. Vermont Ave., 7th Floor, 700, Los Angeles, CA 90230 | 2017-07-27 |
| 1902342074 | Dorene Lehavi | Social Worker | 5106 S Slauson Ave, Suite 192, Los Angeles, CA 90230 | 2017-01-13 |
| 1548634553 | Kimberly Henck | Speech-Language Pathologist | 607 Bristol Pkwy, Ste 105, Culver City, CA 90230 | 2015-11-15 |
| 1346628898 | Stephan Sepernia | Marriage & Family Therapist | 5601 W. Slavson Ave. #192, Culver City, CA 90230 | 2015-05-15 |
| 1558749291 | Sean Steven Mcknee | Chiropractor | 5839 Green Valley Cir Ste 102, Culver City, CA 90230 | 2015-05-14 |
| 1821484841 | Jasmine Lee | Family Medicine | 6000 Sepulveda Blvd Ste E10, Culver City, CA 90230 | 2015-04-07 |
| 1043609191 | Carrie Mays | Counselor | 4760 Sepulvda Blvd., Culver City, CA 90230 | 2015-01-13 |
| 1457759375 | Monquenta Felicia Young | Case Manager/Care Coordinator | 666 Green Valley Circle, Culver City, CA 90230 | 2014-12-09 |
| 1972902724 | Shana Chan Pope | Marriage & Family Therapist | 11949 Jefferson Blvd #106, Culver City, CA 90230 | 2014-08-18 |
| Find all providers in zip 90230 | ||||
| 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 |
|---|---|---|---|---|
| 1437774742 | Cydne Jenae Shapiro | Occupational Therapist | 10854 Arizona Ave, Culver City, CA 90232-3726 | 2020-06-11 |
| 1588127773 | Catherine Noonan | Occupational Therapist | 4174 Vinton Ave, Culver City, CA 90232-3420 | 2019-04-13 |
| 1518493758 | Christine Kim | Occupational Therapist | 4900 Overland Ave Unit 218, Culver City, CA 90230-4275 | 2017-05-09 |
| 1043760366 | Julius Collins Jr. | Occupational Therapist | 6010 Linda Way, Culver City, CA 90230-5446 | 2016-10-11 |
| 1134523897 | Brittany Anne Dunn | Occupational Therapist | 6101 W Centinela Ave Ste 150, Culver City, CA 90230-6351 | 2014-10-09 |
| 1659774230 | Sevenju Pepper Berkey | Occupational Therapist | 4220 Duquesne Ave, Culver City, CA 90232-2808 | 2014-09-26 |
| 1033522693 | Stephen Barbour | Occupational Therapist | 11490 Braddock Dr, Culver City, CA 90230-5151 | 2014-06-10 |
| 1124387956 | Roxana C Fernande | Occupational Therapist | 11821 Teale St, Culver City, CA 90230-7701 | 2012-05-14 |
| 1356623144 | Shauna Esther Zeilig | Occupational Therapist | 3527 Helms Ave, Culver City, CA 90232-2414 | 2011-09-16 |
| 1396811477 | Gene Hurwin | Occupational Therapist | 3624 Wesley St, Culver City, CA 90232-2435 | 2006-11-28 |
| Find all providers in CULVER CITY | ||||
| City | CULVER CITY |
| Zip Code | 90230 |
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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.