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

Shelley Russell, OTR/L

Individual provider Occupational Therapist · NPI 1417498387

Shelley Russell, OTR/L is an Occupational Therapist in Ponchatoula, Louisiana. Practices as a sole proprietor. Licensed in Alabama and Louisiana.

Licensed in
AL, LA
In the registry since
2017
Specialties on file
2
What do these letters mean?
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

39210 Live Oak Dr
Ponchatoula, LA 70454-6664
Phone: (985) 510-0282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 3637 (AL)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence OTT.Z12304 (LA)

Record details

NPI number1417498387
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedMarch 13, 2017
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023

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