P Praxis·MD
● Active Type 1 · Individual

Kristen Russell, COTA/L

Occupational Therapy Assistant·Boise, ID· NPI 1013246669 · Enumerated 2009 · 16 years on NPI
Russell is 1 of 41 occupational therapy assistant providers in Boise and 1 of 160 in Idaho.
NPI age
16 years
Enumerated 2009-12-10
Primary specialty
Occupational Therapy Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-12-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 160 active occupational therapy assistant providers in Idaho.

NPI age
16 years
↑ 6 yr above median (9 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
3% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-12Enumerated in NPPES
2009 2026

Where they practice

Practice location
3169 S Bown Way
Boise, ID 837065400
📞 2084339152fax 2083444752
Mailing address
3169 S Bown Way
Boise, ID 837065400
📞 2084339152fax 2083444752

Specialties

  • Occupational Therapy Assistant Primary
    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...
    ID license #OTA-094 taxonomy 224Z00000X

Practice context

Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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