Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jarel Russell, OTD, OTR/L

Individual provider Occupational Therapist · NPI 1790345940

Mr. Jarel Russell, OTD, OTR/L is an Occupational Therapist in Fort Sam Houston, Texas. Licensed in California and Nevada. Registered with an NPI since 2019.

Licensed in
CA, NV
In the registry since
2019
Specialties on file
2
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone: (213) 948-9556
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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 OT-2951 (NV)
Occupational Therapist Taxonomy 225X00000X · Licence 20116 (CA)

Record details

NPI number1790345940
Entity typeIndividual (Type 1)
GenderMale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedJune 19, 2019
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025

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