Randall Green is a Physical Therapist in Benton, Arkansas. Randall Green practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Randall Green is 1457352056. The last update date is 2008-06-05.
Randall Green's current location address is 1115 Ferguson Dr, Benton, Arkansas. You can contact this provider via phone number 5013150639 and fax number 5013157278. The mailing address for Randall Green is 1115 Ferguson Dr, Benton, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Green |
|---|---|
| Address | 1115 Ferguson Dr, Benton, Arkansas |
| Phone Number | 5013150639 |
| Fax Number | 5013157278 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1457352056 |
|---|---|
| Provider Enumeration Date | 2005-08-03 |
| Last Updated Date | 2008-06-05 |
Provider Mailing Address Detail
| Address | 1115 Ferguson Dr |
|---|---|
| City | Benton |
| State | Arkansas (AR) |
| Post Code | 720153512 |
| Phone Number | 5013150639 |
| Fax Number | 5013157278 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | AR482 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 117798721 | AK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randall Green by the Centers for Medicare & Medicaid Services?
The Randall Green has been issued the NPI (National Provider Identifier) 1457352056, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Randall Green located?
The Randall Green is located at 1115 Ferguson Dr, Benton, AR 720153512.
What is the area of specialization for Randall Green, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Randall Green is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
On what date was the 1457352056 assigned to Randall Green?
The Randall Green was issued its 1457352056 on 2005-08-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Randall Green, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Randall Green, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-05.