RANDALL GREEN (NPI# 1457352056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457352056 |
| Entity Type | Individual |
| Full Name | RANDALL GREEN |
| Credential | PT |
| Practice Address |
1115 Ferguson Dr Benton AR 72015-3512 |
| Practice Telephone | 5013150639 |
| Practice Fax Number | 5013157278 |
| Mailing Telephone | 5013150639 |
| Mailing Fax Number | 5013157278 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2008-06-05 |
| NPI Deactivation Date | 03/27/2006 |
| NPI Reactivation Date | 2006-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | AR482 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 117798721 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619189990 | Randall J Green | Counselor | Rr 2 Box 132g, Madill, OK 73446-8445 | 2007-05-07 |
| 1477723740 | Randall Green | Occupational Therapist | 7508 M E Cad Blvd, Suite A, Clarkston, MI 48348-4281 | 2008-03-03 |
| 1407059363 | Randall Mason Green | Marriage & Family Therapist | 10406 Taft St, Pembrooke Pines, FL 33026 | 2007-06-07 |
| 1154498269 | Randall L Green | Psychologist | 2250 D St Ne, Salem, OR 97301-2768 | 2006-11-30 |
| 1467400333 | Randall William Green | Specialist | 4070 Lake Dr Se, Grand Rapids, MI 49546-8294 | 2006-05-04 |
| Street Address |
1115 FERGUSON DR |
| City | BENTON |
| State | AR |
| Zip Code | 72015-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568750743 | Robin Jane Dyer | Physical Therapist | 1115 Ferguson Dr, Benton, AR 72015-3512 | 2011-07-21 |
| 1730419151 | Garrett O'neal Stanley | Physical Therapist | 1115 Ferguson Dr, Benton, AR 72015-3512 | 2010-01-07 |
| 1164437646 | Saline County Physical Therapy | Clinic/Center | 1115 Ferguson Dr, Benton, AR 72015-3512 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205483815 | Ashley M Posey | Physical Therapist | 1226 Ferguson Dr Ste 1, Benton, AR 72015-3567 | 2019-08-20 |
| 1922563352 | Megan Barrett | Physical Therapist | 103b W 8th St, Benton, KY 42025-1216 | 2019-02-11 |
| 1346765435 | Cindy Gay Harmon | Physical Therapist | 4813 Shoal Creek Dr, Benton, AR 72019-6826 | 2017-08-09 |
| 1174059489 | Timothy Neil Lazarus | Physical Therapist | 185 Burt Blvd Ste B, Benton, LA 71006-4904 | 2017-05-05 |
| 1649623976 | Jennifer Lindsey | Physical Therapist | 232 Tara Ct, Benton, KY 42025-7560 | 2016-07-21 |
| 1689910051 | Rachel Cloud | Physical Therapist | 2010 Activeway, Benton, AR 72019 | 2012-12-12 |
| 1912159864 | William J Barabas | Physical Therapist | 244 Us Hwy 68 East, Benton, KY 42025 | 2008-10-22 |
| 1912156308 | Renel Shay Hoover | Physical Therapist | 86 Story Cemetery Ln, Benton, KY 42025-7932 | 2008-09-10 |
| 1609035625 | Hampton Physical Therapy | Physical Therapist | 244 Us Highway 68 E, Benton, KY 42025-7119 | 2008-06-05 |
| 1093995151 | Carrie Anne Johnson | Physical Therapist | 1102 W South St, Suite 10, Benton, AR 72015-4053 | 2007-11-06 |
| Find all providers in BENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.