Active NPI
Enduro PT PLLC
- Physical Therapy Clinic/Center
- Bella Vista, AR
National Provider Identifier
1093600835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ENDURO PT PLLC
- Practice address
- 9 May LN
Bella Vista, AR 72715-4804 - Phone
- (505) 917-3911
- Fax
- (479) 250-0379
- NPI assigned
- Jun 11, 2025
- Last updated
- Jun 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alex W Russell, PT, DPT, CSCS
- Title
- Physical Therapist
- Phone
- (505) 917-3911
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
9 May LN
Bella Vista, AR 72715-4804
Mailing address
9 May LN
Bella Vista, AR 72715-4804
Phone (505) 917-3911
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Bentonville, AR
- NPI 1225698210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749600000000",
"number": "1093600835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MAY LN",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727154804",
"telephone_number": "505-917-3911",
"fax_number": "479-250-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 MAY LN",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727154804",
"telephone_number": "505-917-3911",
"fax_number": "479-250-0379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDURO PT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-11",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "ALEX",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "505-917-3911",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT, CSCS"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bella Vista, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.