Kaitlyn Nicole Russell, MS, OTR/L | |
2099 W Ridge Rd, Rochester, NY 14626-2728 | |
(315) 437-4689 | |
Not Available |
Full Name | Kaitlyn Nicole Russell |
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Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 2099 W Ridge Rd, Rochester, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255039384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | 027543 (New York) | Primary |
Provider Name | Caring Edge Op Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700399359 PECOS PAC ID: 6406114131 Enrollment ID: O20180920001846 |
Mailing Address | Practice Location Address |
---|---|
Kaitlyn Nicole Russell, MS, OTR/L 367 Bills Rd, Macedon, NY 14502-9334 Ph: (585) 626-8851 | Kaitlyn Nicole Russell, MS, OTR/L 2099 W Ridge Rd, Rochester, NY 14626-2728 Ph: (315) 437-4689 |
Tania K Williams, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 45 Hartwood Dr, Rochester, NY 14623 Phone: 585-414-3005 | |
Ms. Ryann M Scheele, MSOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3399 Winton Rd S, Rochester, NY 14623 Phone: 585-334-6000 | |
Margaret Caroline Dilella, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 254 Alexander St, Rochester, NY 14607 Phone: 585-461-1991 | |
Caitrin Rennoldson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Elmwood Ave Ste 100, Rochester, NY 14620 Phone: 585-271-0761 | |
Mrs. Andrea H. Gerhardt, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 131 W Broad St, Rochester, NY 14614 Phone: 585-705-4297 | |
Katie Schweitzer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-275-3797 | |
Heidi Lynn Goldwasser, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3399 Winton Rd S, Rochester, NY 14623 Phone: 585-334-6000 Fax: 585-334-2858 |