Mrs Kelly Russo Stone, OTR/L - Occupational Therapist in Mandeville, LA

Mrs Kelly Russo Stone, OTR/L is a Occupational Therapist - Pediatrics based in Mandeville, Louisiana. Mrs Kelly Russo Stone is licensed to practice in Louisiana (license number OTT.Z1156) and her current practice location is 505 Louvois St, Mandeville, Louisiana. She can be reached at her office (for appointments etc.) via phone at (678) 462-2923.

NPI number for Mrs Kelly Russo Stone is 1104053529 and her current mailing address is 505 Louvois St, Mandeville, Louisiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104053529.

Contact Information

Mrs Kelly Russo Stone, OTR/L
505 Louvois St,
Mandeville, LA 70448-5468
(678) 462-2923
(866) 753-4652

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kelly Russo Stone
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location505 Louvois St, Mandeville, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104053529
  • Provider Enumeration Date: 06/11/2009
  • Last Update Date: 06/20/2023

Medical Identifiers

Medical identifiers for Mrs Kelly Russo Stone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104053529NPI-NPPES
2450514MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XE0001XOccupational Therapist - Environmental Modification OTT.Z1156 (Louisiana)Secondary
225XF0002XOccupational Therapist - Feeding, Eating & Swallowing OTT.Z1156 (Louisiana)Secondary
225XM0800XOccupational Therapist - Mental Health OTT.Z1156 (Louisiana)Secondary
225XN1300XOccupational Therapist - Neurorehabilitation OTT.Z1156 (Louisiana)Secondary
225XP0200XOccupational Therapist - Pediatrics OTT.Z1156 (Louisiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Russo Stone is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kelly Russo Stone, OTR/L
505 Louvois St,
Mandeville, LA 70448-5468

Ph: (678) 462-2923
Mrs Kelly Russo Stone, OTR/L
505 Louvois St,
Mandeville, LA 70448-5468

Ph: (678) 462-2923

Reviews and Comments


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