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
- 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
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 DirectoryNPI 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.