Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDALL GREEN, PT
DeactivatedRANDALL GREEN, PT is a Physical Therapy Assistant healthcare provider located in BENTON, Arkansas. NPI 1457352056 is deactivated in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BENTON, AR
This NPI has been deactivated.
The record was deactivated on March 27, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1457352056
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2005 (0.64657534246575 yrs)
- Last Updated
- Jun 5, 2008
- Deactivated
- Mar 27, 2006
- License
-
AR482 (AR)
Practice Information
- Address
-
1115 FERGUSON DRBENTON, AR, 720153512Browse AR providers · Browse ZIP 72015
- Phone
- 5013150639
- Fax
- 5013157278
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BENTON, AR
| Name | Credential | NPI |
|---|---|---|
| MR. DANIEL B. MYERS JR. | PHYSICAL THERAPIST | 1477546562 |
| MR. RICHARD DALE STEVENS | PT | 1073596086 |
| MS. KATHYRN ELAINE SANDUSKY | MS PT | 1053370700 |
| MRS. KELLI BRYAN WINTERS | MS PT | 1679532444 |
| MR. COREY WAYNE TINKLE | MS PT | 1790744563 |
| AIMEE NELSON GAROFALO | M.S.P.T. | 1831113588 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.