Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mark William Russell, PTA

Individual provider Community Health Worker · NPI 1437314366

Mr. Mark William Russell, PTA is a Community Health Worker in Edenton, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2008
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

108 Schooner Landing Dr
Edenton, NC 27932-8833
Phone: (252) 632-4137
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 3666 (NC)

Record details

NPI number1437314366
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJuly 21, 2008
Last updated in NPPESJuly 21, 2008