P Praxis·MD
● Active Type 1 · Individual

Andrea Russell

Developmental Therapist·Rigby, ID· NPI 1770342420 · Enumerated 2024 · 2 years on NPI
Russell is 1 of 2 developmental therapist providers in Rigby and 1 of 162 in Idaho.
NPI age
2 years
Enumerated 2024-03-15
Primary specialty
Developmental Therapist
Plus 1 subspecialty
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 162 active developmental therapist providers in Idaho.

NPI age
2 years
≈ at median (3 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 6% of peers with subspecialties

NPI lifetime · 2024 → 2026

2024-03Enumerated in NPPES
2024 2026

Where they practice

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

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
  • Community/Behavioral Health
    A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
    taxonomy 251S00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new developmental therapist provider has been added in Rigby in the last 180 days. See all →
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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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