Randall W Jerry
PRO-ACTIVE REHAB, INC


Address: 640 Mlk Blvd, Malvern, AR 72104-2632
Phone: 5014678275

Randall W Jerry (NPI# 1932624244, PAC ID# 2062779465) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1932624244
PAC ID by PECOS 2062779465
Professional Enrollment ID I20171120000838
Full Name Randall W Jerry
Organization Legal Name PRO-ACTIVE REHAB, INC
Address 640 Mlk Blvd
Malvern
AR 72104-2632
Phone Number 5014678275
Gender M
Graduation Year 2017
Primary Specialty PHYSICAL THERAPY
Group Practice PAC ID 2668482340
Number of Group Practice Members 8
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
640 Mlk Blvd, Malvern, AR 72104-2632 5014678275 PRO-ACTIVE REHAB, INC

Organization Information

Organization Legal Name PRO-ACTIVE REHAB, INC
Physicians 9

Physicians with the same organization

Name Specialty Organization Address
Krista J Koder Physical Therapy Pro-active Rehab, Inc 1308 Military Rd, Benton, AR 72015-2911
Nicholas G Dobbs Physical Therapy Pro-active Rehab, Inc 640 Mlk Blvd, Malvern, AR 72104-2632
Daniel B Myers Jr. Physical Therapy Pro-active Rehab, Inc 1308 Military Rd, Benton, AR 72015-2911
Michael Johnson Physical Therapy Pro-active Rehab, Inc 1308 Military Rd, Benton, AR 72015-2911
James R Lee Physical Therapy Pro-active Rehab, Inc 1308 Military Rd, Benton, AR 72015-2911
Sarah Mechelle Phillips Physical Therapy Pro-active Rehab, Inc 1308 Military Rd, Benton, AR 72015-2911
Mackenzie C Schluterman Physical Therapy Pro-active Rehab, Inc 1308 Military Rd, Benton, AR 72015-2911
Jenna L Mckiddy Physical Therapy Pro-active Rehab, Inc 1308 Military Rd, Benton, AR 72015-2911

Office Location

Street Address 640 MLK BLVD
City MALVERN
State AR
Zip 72104-2632

Physicians in the same location

Name Specialty Organization Address
Nicholas G Dobbs Physical Therapy Pro-active Rehab, Inc 640 Mlk Blvd, Malvern, AR 72104-2632

Physicians in the same zip code

Name Specialty Organization Address
Rimantas Kazakevicius Family Medicine Chi St Vincent Medical Group Hot Springs 1424 Tanner St, Rockport, AR 72104-2082
Michael R Schoultz Physical Therapy 1721 Martin Luther King Blvd I, Malvern, AR 72104-2087
Carrie E Cannon Clinical Social Worker Ouachita Regional Counseling and Mental Health Services, Inc 1615 Martin Luther King Blvd, Malvern, AR 72104-2233
Anthony Joel Valentine Clinical Social Worker Ouachita Regional Counseling and Mental Health Services, Inc 1615 Martin Luther King Blvd, Malvern, AR 72104-2233
Debra A Martinez Clinical Social Worker Ouachita Regional Counseling and Mental Health Services, Inc 1615 Martin Luther King Blvd, Malvern, AR 72104-2233
Brandi N Yarberry-rawls Psychiatry Ouachita Regional Counseling and Mental Health Center, Inc. 1615 Martin Luther King Blvd, Malvern, AR 72104-2233
Bethany S Cox Nurse Practitioner Tfs of Gurdon Inc 829 Halbert St, Malvern, AR 72104-2607
Mona R Simms Nurse Practitioner Shawn Purifoy Md Pa 850 Henry St, Malvern, AR 72104-2712
Anna Ross Nurse Practitioner Shawn Purifoy Md Pa 850 Henry St, Malvern, AR 72104-2712
Norinda Harrison Nurse Practitioner Shawn Purifoy Md Pa 850 Henry St, Malvern, AR 72104-2712
Find all physicians in zip 72104

Competitor

Search similar physicians

City MALVERN
Zip Code 72104
Specialty PHYSICAL THERAPY
City + Specialty MALVERN + PHYSICAL THERAPY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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