Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407841695 Individual Practitioner Male Practitioner

Russ Todd Nelson , LPT

Specialist • Texarkana, TX

Professional Overview & Biography Verified Profile Summary

Russ Nelson, LPT is a registered healthcare professional specializing in Specialist in Texarkana, TX. Practice services are available at 4303 TEXAS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4303 Texas Blvd
Ste 8

Texarkana, TX 755033097

Telephone 9037931797
Fax 9037932105

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Texarkana, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.8 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Texarkana, TX (2033 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX 1090942

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tx License
1090942 (TX)
Commercial Insurance / Payer ID Ar Bcbs Number
99451 (AR)
Commercial Insurance / Payer ID Bcbs Id Number
86940T (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Connie Rankin , OTR

Occupational Therapist

NPI 1275551459

Occupational Therapist Registered

NPI 1316932502

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4303 TEXAS BLVD, STE 8, TEXARKANA, TX 755033097 (Tel: 9037931797)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4303 TEXAS BLVD, STE 8, TEXARKANA, TX 755033097 (Tel: 9037931797)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RUSS NELSON, LPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #1090942 in TX)

🟢
Initial NPI Registration & Enumeration September 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Russ Nelson. Be the first to share your experience!

Sign in to leave a review for Russ Nelson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1407841695
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

4303 Texas Blvd, Ste 8

Texarkana, TX 755033097

Phone: 9037931797

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.