STEPHANIE ANN RUSSELL
NPI 1912685629
Rehabilitation Practitioner in Glendora, CA

Q: What is Stephanie Russell's NPI number?

The NPI number for Stephanie Russell is 1912685629. It was assigned to this individual provider in the NPPES registry on July 11, 2023.

Q: What is Stephanie Russell's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Russell was last updated on June 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 11, 2023

1160 S GRAND AVE, GLENDORA, CA 91740(626) 335-5980 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2024, Apr 2, 2024, Mar 5, 2024 and 1 more (4 updates tracked since 2023).

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About Stephanie Ann Russell NPPES

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

STEPHANIE ANN RUSSELL (NPI 1912685629) is an individual rehabilitation practitioner in Glendora, California and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1912685629

Entity TypeIndividualFemale

Primary Taxonomy225400000X

Provider Legal NameSTEPHANIE ANN RUSSELL

Location Address1160 S GRAND AVEGlendora, CA 91740-5000

Mailing Address1126 N Grand AveCovina, CA 91724-1551

Phone(626) 335-5980

Sole ProprietorNo

Enumeration DateJuly 11, 2023

Last NPPES UpdateJune 4, 20244 updates tracked since enumeration

NPPES CertifiedJune 4, 2024

✔ NPI 1912685629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedCommunity Health WorkerTaxonomy 172V00000X

Also ListedRecreation TherapistTaxonomy 225800000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1160 S GRAND AVE, Glendora, CA 91740

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Other Providers at the Same Location NPPES 20

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

JOY JIA I CHUNG M.S.

Counselor (Mental Health)