STACIE RUSSELL (NPI# 1578105045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578105045 |
| Entity Type | Individual |
| Full Name | STACIE RUSSELL |
| Credential | COTA |
| Practice Address |
1049 N Edge Trl Verona WI 53593-1942 |
| Mailing Address |
3022 Acker St Cross Plains WI 53528-9557 |
| Practice Telephone | 6088452100 |
| Mailing Telephone | 6084382903 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861808255 | Stacie Russell | Counselor | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2014-07-07 |
| Street Address |
1049 N EDGE TRL |
| City | VERONA |
| State | WI |
| Zip Code | 53593-1942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689645434 | Stellar Rehabilitation, LLC | Occupational Therapist | 1049 N Edge Trl, Verona, WI 53593-1942 | 2006-01-30 |
| 1588271209 | Megan Clark | Physical Therapist | 1049 N Edge Trl, Verona, WI 53593-1942 | 2020-09-27 |
| 1326680109 | Chadd David Black | Physical Therapy Assistant | 1049 N Edge Trl, Verona, WI 53593-1942 | 2019-10-13 |
| 1174009120 | Joseph Schilz | Physical Therapist | 1049 N Edge Trl, Verona, WI 53593-1942 | 2018-07-12 |
| 1598192866 | Pawel Adrian Moldysz | Physical Therapist | 1049 N Edge Trl, Verona, WI 53593-1942 | 2013-10-02 |
| 1265864607 | Joshua John Hedrich | Occupational Therapist | 1049 N Edge Trl, Verona, WI 53593-1942 | 2013-08-08 |
| 1184992067 | Michelle Alexandra Dimartino | Occupational Therapist | 1049 N Edge Trl, Verona, WI 53593-1942 | 2011-12-07 |
| 1538436399 | Julie Sullivan | Physical Therapist | 1049 N Edge Trl, Verona, WI 53593-1942 | 2011-11-22 |
| 1528298049 | Abbi-jane Lau | Occupational Therapist | 1049 N Edge Trl, Verona, WI 53593-1942 | 2009-07-17 |
| 1881858223 | Heather Mortenson | Physical Therapist | 1049 N Edge Trl, Verona, WI 53593-1942 | 2008-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609385467 | Tracy D. Pollack | Physical Therapist | 1049 North Edge Trail, Verona, WI 53593 | 2017-09-25 |
| 1851748115 | Jonna L Bier | Physical Therapy Assistant | 1049 N. Edge Trail, Verona, WI 53593 | 2016-05-17 |
| 1730451162 | Ultimate Performance Therapy, LLC | Physical Therapist | 403 Venture Ct, Suite 2, Verona, WI 53593 | 2012-02-01 |
| 1417246372 | Hammes Family Chiropractic LLC | Chiropractor | 1029 North Edge Trail, Verona, WI 53593 | 2011-03-31 |
| 1457678120 | Danielle Marie Waite | Licensed Practical Nurse | 606 Green Meadow Dr., Verona, WI 53593 | 2010-04-21 |
| 1316113418 | Linda T Hofstetter | Occupational Therapist | 720 Arbor Vitae Pl, Verona, WI 53593 | 2008-05-08 |
| 1902070758 | Judith F. Koeppl | Counselor | 4123 Monona Drive, Madison, WI 53593 | 2008-04-14 |
| 1881885408 | Carolyn J Moynihan | Marriage & Family Therapist | 8283 N Riley Rd, Verona, WI 53593 | 2007-08-08 |
| 1194810515 | Selma Herbst | Social Worker | 3657 Vickiann St, Verona, WI 53593 | 2006-10-03 |
| 1295830529 | Daniel Joseph Wadzinski | Dentist | 109 East Verona Avenue, Verona, WI 53593 | 2006-09-13 |
| Find all providers in zip 53593 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144435108 | Mary Nawrocki | Occupational Therapy Assistant | 501 Mark Dr, Verona, WI 53593-1022 | 2007-05-13 |
| 1114385895 | Paula Haley | Occupational Therapy Assistant | 5635 State Route 31, Verona, NY 13478-3705 | 2016-02-09 |
| 1568736767 | Cindy Sue Zucco | Occupational Therapy Assistant | 5360 Saltsburg Rd, Verona, PA 15147-3033 | 2012-03-06 |
| 1821389115 | Alane M Boutelle | Occupational Therapy Assistant | 1100 E Verona Ave, Verona, WI 53593-8717 | 2011-04-21 |
| 1710152384 | Caroline Grindrod | Occupational Therapy Assistant | 303 S Jefferson St, Verona, WI 53593-1415 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132201 | Melanie Richardson | Occupational Therapy Assistant | 1312 W Ann St, Kaukauna, WI 54130-3882 | 2020-10-21 |
| 1316546526 | Emma Lorn Klaboe-stephens | Occupational Therapy Assistant | 1425 N 12th Ave Apt 221, Wausau, WI 54401-2451 | 2020-10-19 |
| 1639781784 | Chang Herr | Occupational Therapy Assistant | 6824 N Burbank Ave, Milwaukee, WI 53224-4844 | 2020-08-19 |
| 1720617129 | Holly Fales | Occupational Therapy Assistant | 677 East Street, Burlington, WI 53105-1639 | 2020-04-07 |
| 1316573520 | Kiana D Spanbauer | Occupational Therapy Assistant | 3321 Logan Dr Apt 7, Oshkosh, WI 54901-1178 | 2020-03-19 |
| 1588295653 | Baylee M Noe | Occupational Therapy Assistant | Sage Meadow of Lake Geneva 6722 Wi-50, Lake Geneva, WI 53147 | 2020-01-28 |
| 1942851852 | Brittany Miller | Occupational Therapy Assistant | N35590 Weverstad Rd, Blair, WI 54616-8600 | 2019-09-23 |
| 1619526399 | Kelly Salas | Occupational Therapy Assistant | 701 Deming Way Ste 110, Madison, WI 53717-2916 | 2019-09-05 |
| 1073168019 | Kristen Koshalek | Occupational Therapy Assistant | 3541 Plover Rd # A, Wisconsin Rapids, WI 54494-2155 | 2019-08-06 |
| 1366004152 | Courtney Joy Langendorf | Occupational Therapy Assistant | W5528 N Shore Dr, New Lisbon, WI 53950-9034 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STACIE RUSSELL.
| 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.