DR. KIMBERLY KD RUSSELL (NPI# 1902085566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902085566 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY KD RUSSELL |
| Credential | OTR/L |
| Practice Address |
1812 N Spualding Ave Chicago IL 60647 |
| Practice Telephone | 3129657633 |
| Mailing Telephone | 3129657633 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2012-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056008127 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225227648 | Kimberly Russell | Obstetrics & Gynecology | 7545 Beechmont Ave Ste B, Cincinnati, OH 45255 | 2007-10-22 |
| 1003939943 | Kimberly Ann Russell | Social Worker | 617 Ne Davis St, Mcminnville, OR 97128-4716 | 2007-04-07 |
| 1720130305 | Kimberly Tanis Russell | Family Medicine | 3404 Kaydence Ct, Killeen, TX 76542-3338 | 2007-01-17 |
| 1992718837 | Kimberly J Russell | Physical Therapist | 135 S Barrington Pl, Los Angeles, CA 90049-3305 | 2006-08-14 |
| 1699710632 | Kimberly A Russell | Nurse Anesthetist, Certified Registered | 7813 Via Verde Dr, Austin, TX 78739-1980 | 2006-06-16 |
| 1902443245 | Kimberly Ann Russell | Behavioral Analyst | 88 Inverness Cir E Ste 104, Englewood, CO 80112-5304 | 2019-12-05 |
| 1649746025 | Kimberly Lynn Russell | Physician Assistant | 9221 University Blvd Ste 102, North Charleston, SC 29406-9148 | 2018-10-23 |
| 1629552906 | Kimberly Russell | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2018-09-21 |
| 1205373693 | Kimberly Russell | Social Worker | 7826 Eastern Ave Nw, Suite 201, Washington, DC 20012-1324 | 2017-01-24 |
| 1457894297 | Kimberly Russell | Counselor | 751 Bayou Pines East Dr Ste C, Lake Charles, LA 70601-7196 | 2016-11-28 |
| Street Address |
1812 N SPUALDING AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
| 1003424458 | Emily Gleesing | Physical Therapist | 1923 N Western Ave, Chicago, IL 60647 | 2020-07-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1740772342 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 | 2018-05-31 |
| 1992297535 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 | 2018-05-30 |
| 1942704580 | Team Rehabilitation Il15, LLC | Physical Therapist | 1923 N Western Avenue, Chicago, IL 60647 | 2018-03-20 |
| 1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
| 1023537693 | Erin Frommeyer | Physician Assistant | 2228 W Dickens Avenue, Chicago, IL 60647 | 2017-09-15 |
| 1457872475 | Stefanie Paola Maurtua | Behavioral Analyst | 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 | 2017-06-29 |
| 1700322922 | Lumen Optical Illinois 4, LLC | Optometrist | 2420 N Elston, Bucktown, IL 60647 | 2017-01-11 |
| Find all providers in zip 60647 | ||||
| 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 |
|---|---|---|---|---|
| 1083214019 | Kelly Shavonne Johnson-means | Occupational Therapist | 715 N Sawyer Ave, Chicago, IL 60624-1532 | 2020-10-28 |
| 1245837129 | Lisa Marie Park | Occupational Therapist | 4960 W Argyle St Apt 2, Chicago, IL 60630-4888 | 2020-10-05 |
| 1033728480 | Emily Mock | Occupational Therapist | 2739 N Mildred Ave Apt 3, Chicago, IL 60614-1459 | 2020-07-30 |
| 1699390781 | Katrina Morrissey | Occupational Therapist | 1722 N Newcastle Ave, Chicago, IL 60707-4422 | 2020-06-15 |
| 1225651623 | Amber Shannon-adams | Occupational Therapist | 7704 S Seeley Ave, Chicago, IL 60620-5747 | 2020-05-20 |
| 1558984989 | Timothy Hunt | Occupational Therapist | 2950 N Allen Ave Apt 2, Chicago, IL 60618-6702 | 2020-05-20 |
| 1881217461 | Demi Moses | Occupational Therapist | 3049 W Harrison St, Chicago, IL 60612-3342 | 2020-05-18 |
| 1144842683 | Mary Bares | Occupational Therapist | 6800 N Ozark Ave, Chicago, IL 60631-1277 | 2020-05-07 |
| 1689293920 | Rose D Duffy | Occupational Therapist | 1740 W Taylor St # C100, Chicago, IL 60612-7232 | 2020-04-15 |
| 1730708546 | Jasmine Darlene Murphy | Occupational Therapist | 12322 S Wallace St, Chicago, IL 60628-6420 | 2020-04-11 |
| Find all providers in CHICAGO | ||||
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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.