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
Mailing address108 Schooner Landing Dr, Edenton, NC 27932-8833