Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Russell John Phillippo, COTA

Individual provider Occupational Therapy Assistant · NPI 1891942082

Mr. Russell John Phillippo, COTA is an Occupational Therapy Assistant in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2008
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

407 E 106th St
Indianapolis, IN 46280-1325
Phone: (317) 460-3493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 32000325A (IN)

Record details

NPI number1891942082
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedAugust 19, 2008
Last updated in NPPESAugust 19, 2008

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