Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Samantha Nicole Russ, OTD

Individual provider Occupational Therapist · NPI 1205797123

Dr. Samantha Nicole Russ, OTD is an Occupational Therapist in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

2335 Stockton Blvd
Sacramento, CA 95817-2201
Phone: (916) 214-4480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 25419 (CA)

Record details

NPI number1205797123
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD
Sole proprietorYes
NPI enumeratedNovember 20, 2025
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

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