Alan Michael Russell, MS, LAT, ATC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

AT8943 Issued in TX

Practice address

3800 Gaylord Pkwy Ste 120
Frisco, TX 75034-9418

Phone

(805) 559-2526

NPI assigned

Sep 4, 2023

Last updated

Sep 4, 2023By the provider in NPPES

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1932985132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 GAYLORD PKWY STE 120",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349418",
            "telephone_number": "805-559-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 GAYLORD PKWY STE 120",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349418",
            "telephone_number": "805-559-2526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Bridgeport Dr",
            "address_purpose": "LOCATION",
            "city": "Little Elm",
            "state": "TX",
            "postal_code": "750687618",
            "country_code": "US",
            "telephone_number": "805-559-2526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ALAN",
        "middle_name": "MICHAEL",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "TX",
            "license": "AT8943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Runyon, PH.D
• Kevin Ryan Rushin, PA-C
• Abigail Rose Rushwin
• Anna Kristin Rusk, M.D.
• Darrell Lance Russ, MPT
• Hannah Joanne Russell, BCBA
• Lindsey Hope Russell
• Marijo Michaela Russell, OT
• Christina Marie Russo, PT, DPT
• Rxconsult PLLC

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.