Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

RUSS TODD NELSON LPT
NPI 1407841695
Specialist in Texarkana, TX

Active since September 14, 2005
4303 TEXAS BLVD, STE 8, TEXARKANA, TX 75503(903) 793-1797(903) 793-2105 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Russ Todd Nelson Lpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSS TODD NELSON LPT (NPI 1407841695) is an individual specialist in Texarkana, Texas, licensed in Texas (1090942) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1407841695
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameRUSS TODD NELSONCredential: LPT
Location Address4303 TEXAS BLVD, STE 8Texarkana, TX 75503-3097
Mailing Address4303 Texas Blvd, Ste 8Texarkana, TX 75503-3097 · (903) 793-1797 · Fax (903) 793-2105
Fax(903) 793-2105
Sole ProprietorNo
Enumeration DateSeptember 14, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1407841695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · 1090942
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4303 TEXAS BLVD, Texarkana, TX 75503

Other Identifiers 3

Other1090942TX · Tx License
Other99451AR · Ar Bcbs Number
Other86940TTX · Bcbs Id Number

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
4303 TEXAS BLVD, SUITE 1
TEXARKANA, TX 75503
Occupational Therapist
4303 TEXAS BLVD, SUITE 8
TEXARKANA, TX 75503
Specialist
4303 TEXAS BLVD, STE 8
TEXARKANA, TX 75503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russ Nelson's NPI number?

The NPI number for Russ Nelson is 1407841695. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Russ Nelson located?

Russ Nelson practices at 4303 Texas Blvd Ste 8, Texarkana, TX 75503. The listed phone number is (903) 793-1797.

What is Russ Nelson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Russ Nelson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.