IndividualActive
Russell Thurman, PTA
NPI 1396300505 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Rogersville, MO
Provider details
- NPI number
- 1396300505
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 2008034225 (MO)
Specialties & taxonomies
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081P2900XLicense 2008034225 (MO)
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
305 Thornbrooke Dr
Rogersville, MO 65742-8737
Phone: (417) 894-7052
Street-level locationGet directions
Mailing address
305 Thornbrooke Dr
Rogersville, MO 65742-8737
Registry dates
- Enumerated
- 2019-05-02
- Last updated
- 2019-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.