Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Paul Russell Hercules IV, PT, DPT

Individual provider Athletic Trainer · NPI 1760914568

Dr. Paul Russell Hercules IV, PT, DPT is an Athletic Trainer in Martinsburg, West Virginia. Licensed in West Virginia. Registered with an NPI since 2017.

Licensed in
WV
In the registry since
2017
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

208 Old Mill Rd
Martinsburg, WV 25401-9219
Phone: (304) 263-5680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT004295 (WV)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1760914568
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMarch 30, 2017
Last updated in NPPESMarch 11, 2022
Certification dateMarch 11, 2022

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