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

Lori Rene Russell, OT

Individual provider Occupational Therapist · NPI 1255741724

Lori Rene Russell, OT is an Occupational Therapist in Private Practice in Fairfield, California. Qualified in 1984, 42 years ago. Practices with Northbay Physicians Surgery Center, LLC, a 337-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
42
Licensed in
CA
In the registry since
2014
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

2500 Hilborn Rd
Fairfield, CA 94534-1097
Phone: (707) 646-5599
Fax: (707) 646-5574
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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 438 (CA)

Record details

NPI number1255741724
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorYes
NPI enumeratedMay 5, 2014
Last updated in NPPESSeptember 14, 2022
Certification dateSeptember 14, 2022

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Northbay Physicians Surgery Center, Llc — 337 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairfield