Organization Active NPI

Enduro PT PLLC

  • Physical Therapy Clinic/Center
  • Bella Vista, AR
National Provider Identifier
1093600835
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

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.

Verify at the official NPI Registry.