IndividualActive
Adam Russell, PTA
NPI 1992179402 · Physical Therapy Assistant · Concord, NC
Provider details
- NPI number
- 1992179402
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 5426 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
487 Lake Concord Rd Ne
Concord, NC 28025-2934
Phone: (704) 403-0291
Street-level locationGet directions
Mailing address
337 Courtland Ct
Kannapolis, NC 28081-7172
Registry dates
- Enumerated
- 2015-11-20
- Last updated
- 2015-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.