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

Victoria Lyn Russell

Individual provider Occupational Therapist · NPI 1508088584

Victoria Lyn Russell is an Occupational Therapist in Private Practice in Woodstock, Georgia. Qualified in 1999, 27 years ago. Practices with Phoebe Physician Group Inc, a 432-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
27
Licensed in
GA
In the registry since
2007
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Practice location Address checks out

6884 Hickory Flat Hwy
Woodstock, GA 30188-3229
Phone: (770) 704-8244
Fax: (770) 704-8264
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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 003654 (GA)

Record details

NPI number1508088584
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESApril 15, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Phoebe Physician Group Inc — 432 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Woodstock