1. Home
  2. Directory
  3. Arkansas
  4. Little Rock
  5. Specialist Technologist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IDA ALICIA RUSSELL ATC
NPI 1700841038
Specialist/Technologist - Athletic Trainer in Little Rock, AR

Active since April 19, 2006
424 N UNIVERSITY AVE, LITTLE ROCK, AR 72205(501) 661-0336(501) 661-0412 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ida Alicia Russell Atc NPPES

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

IDA ALICIA RUSSELL ATC (NPI 1700841038) is an individual athletic trainer provider in Little Rock, Arkansas, licensed in Arkansas (293) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1700841038
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameIDA ALICIA RUSSELLCredential: ATC
Location Address424 N UNIVERSITY AVELittle Rock, AR 72205-3109
Mailing Address3408 Silica Heights RdBenton, AR 72015-5622 · (501) 860-6601
Phone(501) 661-0336
Fax(501) 661-0412
Sole ProprietorNo
Enumeration DateApril 19, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1700841038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in AR · 293
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
424 N UNIVERSITY AVE, Little Rock, AR 72205
Open in Google Maps ↗

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.

SARAH OLNEY PT
Physical Therapist
424 N UNIVERSITY AVE
LITTLE ROCK, AR 72205
Pulaski County (501) 661-0336
LITTLE ROCK FOOT CLINIC, PA
Podiatrist
424 N UNIVERSITY AVE
LITTLE ROCK, AR 72205
Pulaski County (501) 664-8888
DR. TERRI R COHEN DPM
Podiatrist
424 N UNIVERSITY AVE
LITTLE ROCK, AR 72205
Pulaski County (501) 664-8888

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 Ida Russell's NPI number?

The NPI number for Ida Russell is 1700841038. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Ida Russell located?

Ida Russell practices at 424 N University Ave, Little Rock, AR 72205. The listed phone number is (501) 661-0336.

What is Ida Russell's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Ida Russell was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.