P Praxis·MD
● Active Type 2 · Organization

Andrea Russell

Developmental Therapist·Rigby, ID· NPI 1104769520 · Enumerated 2026 · 0 years on NPI
Andrea Russell is 1 of 162 developmental therapist organizations in Idaho.
NPI age
— years
Enumerated 2026-04-10
Primary specialty
Developmental Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Russell
Intervention Professional
Last NPPES update
2026-04-10
Source: monthly bulk 2026-05

How this organization compares

Across 162 active developmental therapist providers in Idaho.

NPI age
0 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2026 → 2026

2026-04Enumerated in NPPES
2026 2026

Where they practice

Primary practice location
1200 Jaylee Dr Unit 1
Rigby, ID 834425273
📞 2084199383
Mailing address
1200 Jaylee Dr Unit 1
Rigby, ID 834425273
📞 2084199383

Authorized official

Andrea Russell
Intervention Professional
📞 2084199383

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Developmental Therapist Primary
    A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by...
    taxonomy 222Q00000X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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