Jonathan Bernard Randle, PT, DPT | |
1640 Basswood Blvd, Saginaw, TX 76131-4967 | |
(817) 502-6933 | |
Not Available |
Full Name | Jonathan Bernard Randle |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1640 Basswood Blvd, Saginaw, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225576606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4262 (Arkansas) | Secondary |
225100000X | Physical Therapist | CP017265T (Texas) | Primary |
Provider Name | South Arkansas Orthopaedics And Sports Medicine Center Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407845951 PECOS PAC ID: 2769566470 Enrollment ID: O20080219000744 |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1003563727 PECOS PAC ID: 4789602681 Enrollment ID: O20220818001013 |
Mailing Address | Practice Location Address |
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Jonathan Bernard Randle, PT, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Jonathan Bernard Randle, PT, DPT 1640 Basswood Blvd, Saginaw, TX 76131-4967 Ph: (817) 502-6933 |
Rebecca Ann Fields, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 505 Cambridge Dr, Saginaw, TX 76179 Phone: 817-271-6116 | |
Jessica Bowman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Po Box 79267, Saginaw, TX 76179 Phone: 817-368-8646 | |
Longsworth Physical Therapy And Wellness Physical Therapist Medicare: Medicare Enrolled Practice Location: 1100 N Blue Mound Rd Ste 130, Saginaw, TX 76131 Phone: 773-707-8910 | |
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Basswood Blvd, Saginaw, TX 76131 Phone: 817-502-6339 Fax: 817-204-1045 | |
Heath Justin Dittfurth, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1100 N Blue Mound Rd, Suite 130, Saginaw, TX 76131 Phone: 817-232-3553 Fax: 817-232-7882 | |
Whitney Uchenna Ikemba, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1640 Basswood Blvd, Saginaw, TX 76131 Phone: 817-502-6339 |