Alex W Russell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5415 Issued in AR

Practice address

701 N Walton Blvd Ste 2
Bentonville, AR 72712-4548

Phone

(479) 250-9838

NPI assigned

Jun 20, 2019

Last updated

Sep 1, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Enduro PT PLLC

  • Physical Therapy Clinic/Center
  • Bella Vista, AR
  • NPI 1093600835
  Authorized official Same address or phone
• Peter D Leonard, M.D. PA

  • Specialist
  • Plano, TX
  • NPI 1699132589
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1225698210",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N WALTON BLVD STE 2",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124548",
            "telephone_number": "479-250-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ALEX",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1324750",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT5503",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin T Rusinowski
• Russ Physical Therapy
• Russ Physical Therapy LLC
• Joe Russ
• Rhonda Beth Russ, PT
• Georgia Anna Russow
• Kerry Ryall, LPC
• Landru Ryder
• Meghan A Ryder, LCSW
• Roberto Saez, MD

• Physical Therapist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.