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

Stacie Russell, COTA

Individual provider Occupational Therapy Assistant · NPI 1578105045

Stacie Russell, COTA is an Occupational Therapy Assistant in Verona, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.

Licensed in
WI
In the registry since
2019
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

1049 N Edge Trl
Verona, WI 53593-1942
Phone: (608) 845-2100
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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 (WI)

Record details

NPI number1578105045
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedOctober 16, 2019
Last updated in NPPESOctober 16, 2019

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