Healthcare Provider Details

I. General information

NPI: 1053236034
Provider Name (Legal Business Name): ALEXANDER RUSSELL TURNER PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 CREEDMOOR RD STE 116
RALEIGH NC
27612-6730
US

IV. Provider business mailing address

6300 CREEDMOOR RD STE 116
RALEIGH NC
27612-6730
US

V. Phone/Fax

Practice location:
  • Phone: 919-789-8199
  • Fax:
Mailing address:
  • Phone: 919-789-8199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP25119
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: