Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mary Beth Russo, MS, OTR/L

Individual provider Occupational Therapist · NPI 1265746093

Mrs. Mary Beth Russo, MS, OTR/L is an Occupational Therapist in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2010
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

4201 Lake Boone Trl Ste 4
Raleigh, NC 27607-7512
Phone: (919) 781-4434
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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 7597 (NC)

Record details

NPI number1265746093
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorYes
NPI enumeratedAugust 4, 2010
Last updated in NPPESJune 23, 2011

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