Jonathan Bernard Randle, PT, DPT in Bryant, AR - Medicare Physical Therapist Provider

Jonathan Bernard Randle, PT, DPT is a medicare enrolled "Physical Therapist" provider in Bryant, Arkansas. His current practice location is 3231 Main St Ste 3, Bryant, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 847-0500.

Jonathan Bernard Randle is licensed to practice in Arkansas (license number 4262) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225576606.

Contact Information

	Jonathan Bernard Randle, PT, DPT
	3231 Main St Ste 3, Bryant, AR 72022-9201
	(501) 847-0500
	(501) 847-0508

Map and Direction

Healthcare Provider's Profile

Full Name	Jonathan Bernard Randle
Gender	Male
Speciality	Physical Therapist
Location	3231 Main St Ste 3, Bryant, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225576606
Provider Enumeration Date: 02/06/2017
Last Update Date: 01/31/2024

Medicare PECOS Information:

PECOS PAC ID: 0345525820
Enrollment ID: I20170323002651

Medical Identifiers

Medical identifiers for Jonathan Bernard Randle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225576606	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	CP020312T (South Carolina)	Secondary
225100000X	Physical Therapist	CP007743T (Virginia)	Secondary
225100000X	Physical Therapist	4262 (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jonathan Bernard Randle allows following entities to bill medicare on his behalf.

Provider Name	South Arkansas Orthopaedics And Sports Medicine Center Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1407845951 PECOS PAC ID: 2769566470 Enrollment ID: O20080219000744

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1003563727 PECOS PAC ID: 4789602681 Enrollment ID: O20220818001013

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Bernard Randle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jonathan Bernard Randle, PT, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980	Jonathan Bernard Randle, PT, DPT 3231 Main St Ste 3, Bryant, AR 72022-9201 Ph: (501) 847-0500

Reviews and Comments

Physical Therapist in Bryant, AR

Caleb M Dorsey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3231 Main St Ste 3, Bryant, AR 72022 Phone: 501-847-0500 Fax: 501-847-0508
Guided Path Therapies Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1021 Shobe Rd, Bryant, AR 72022 Phone: 501-213-0424
Mrs. Julie E. Gaiser, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 608 W Commerce Dr, Suite 2, Bryant, AR 72022 Phone: 501-847-0107
Meredith Gavin Langley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3231 Main St Ste 3, Bryant, AR 72022 Phone: 501-847-0500
Dr. Rhianna L Hampel, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3231 Main Street, Suite 3, Bryant, AR 72022 Phone: 501-847-0500 Fax: 501-847-0508
Pro-active Physical Therapy Bryant Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5309 Highway 5 N Ste 150, Bryant, AR 72022 Phone: 501-847-3320 Fax: 501-847-3381

Jonathan Bernard Randle, PT, DPT - Medicare Physical Therapist in Bryant, AR