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

Jamie Russell

Individual provider Occupational Therapist · NPI 1023282274

Jamie Russell is an Occupational Therapist in Private Practice in McComb, Mississippi. Qualified in 1998, 28 years ago. Practices with Tri-Vista Rehab, Inc, a 26-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
28
Licensed in
MS
In the registry since
2008
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Practice location Address checks out

206 Maryland Ave
McComb, MS 39648-3926
Phone: (601) 250-4815
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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 OT1245 (MS)

Record details

NPI number1023282274
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 18, 2008
Last updated in NPPESApril 18, 2008
Mailing address2440 Little Black Creek Rd, Lumberton, MS 39455-7881

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Tri-Vista Rehab, Inc. — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in McComb