Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Graycen Russell, OT

Individual provider Occupational Therapist · NPI 1316660921

Graycen Russell, OT is an Occupational Therapist in Private Practice in Russellville, Arkansas. Qualified in 2022, 4 years ago. Practices with River Valley Therapy and Sports Medicine Inc, a 31-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
4
Licensed in
AR
In the registry since
2022
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

2100 W Main St
Russellville, AR 72801-2758
Phone: (479) 968-2525
Fax: (479) 968-2538
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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 OT2022-018 (AR)

Record details

NPI number1316660921
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedSeptember 20, 2022
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice River Valley Therapy And Sports Medicine Inc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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