Jamie Russell
NPI 1023282274ActiveIndividual· Occupational Therapist· McComb, MS
Occupational Therapist with Tri-Vista Rehab, Inc., practicing in McComb, Mississippi. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1023282274 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 18, 2008 |
| Last updated in NPPES | Apr 18, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT1245 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (MS) |
|---|
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
| Telehealth | Offers telehealth |
Medical group
- Tri-Vista Rehab, Inc.Tupelo, MS · 26 clinicians
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All 33 occupational therapists in McComb · All occupational therapists in Mississippi