MICHELLE RUSSO
NPI 1790546414
Occupational Therapist - Pediatrics in Lake City, FL

Active since January 19, 2024
3650 NW DEVANE ST, LAKE CITY, FL 32055(386) 758-1811 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michelle Russo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE RUSSO (NPI 1790546414) is an individual pediatrics provider in Lake City, Florida, licensed in Florida (OT24825) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1790546414
Entity TypeIndividualFemale
Primary Taxonomy225XP0200X
Provider Legal NameMICHELLE RUSSO
Location Address3650 NW DEVANE STLake City, FL 32055-8730
Mailing Address1388 Bitterberry DrOrange Park, FL 32065-5239
Sole ProprietorNo
Enumeration DateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
NPI 1790546414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XP0200X
License Licensed in FL · OT24825
Definition
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
3650 NW DEVANE ST, Lake City, FL 32055

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
3650 NW DEVANE ST
LAKE CITY, FL 32055
Behavior Analyst
3650 NW DEVANE ST
LAKE CITY, FL 32055
Pediatrics (Pediatric Cardiology)
3650 NW DEVANE ST
LAKE CITY, FL 32055
Clinic/Center (Multi-Specialty)
3650 NW DEVANE ST
LAKE CITY, FL 32055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Russo's NPI number?

The NPI number for Michelle Russo is 1790546414. It was assigned to this individual provider in the NPPES registry on January 19, 2024.

Where is Michelle Russo located?

Michelle Russo practices at 3650 NW Devane St, Lake City, FL 32055. The listed phone number is (386) 758-1811.

What is Michelle Russo's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.

When was this NPI record last updated?

The NPPES record for Michelle Russo was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.