Russell Sineni, ATC, LAT

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

LAT-2586 Issued in NC

Practice address

7700 Perry Creek Rd
Raleigh, NC 27616-5704

Phone

(336) 587-9031

NPI assigned

Sep 28, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569628800000",
    "number": "1407407612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 PERRY CREEK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 PERRY CREEK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165704",
            "telephone_number": "336-587-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINENI",
        "first_name": "RUSSELL",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-28",
        "last_updated": "2019-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NC",
            "license": "LAT-2586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian David Sindelar, M.D.
• John R Sinden, M.D.
• Susan Grambow Sinden, M.D.
• Navreet Sandhu Sindhwani, MD
• Michael E Sindoni, M.D.
• Michelle Nicole Sines
• Rebecca Bryan Singal, DO
• Madison Singfiel, MSW, LCSW
• Aspinder Singh, M.D.
• Jennifer Singh, RD

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2019; 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.