| Zachary James Randolph, DPT | |
|
60368 Cotton Gin Port Rd, Amory, MS 38821 | |
| (662) 257-3669 | |
| (662) 257-3961 |
| Full Name | Zachary James Randolph |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 6 Years |
| Location | 60368 Cotton Gin Port Rd, Amory, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023663317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT6683 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Breakthrough Physical Therapy | 3971959099 | 5 |
| Provider Name | Breakthrough Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396522736 PECOS PAC ID: 3971959099 Enrollment ID: O20231026001241 |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary James Randolph, DPT 60368 Cotton Gin Port Rd, Amory, MS 38821 Ph: (662) 257-3669 | Zachary James Randolph, DPT 60368 Cotton Gin Port Rd, Amory, MS 38821 Ph: (662) 257-3669 |
Jamee Fratesi Zepponi, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 Earl Frye Blvd, Amory, MS 38821 Phone: 662-257-4048 Fax: 662-257-4080 | |
Kelly Coker Dabbs, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1215 Earl Frye Blvd, Amory, MS 38821 Phone: 662-256-4640 | |
Melinda Dickerson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 404 Peg Ln, Amory, MS 38821 Phone: 662-315-0084 Fax: 479-709-7717 | |
Kacey Byrd Roberts, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1112 Highway 278 E Ste A, Amory, MS 38821 Phone: 662-257-4048 Fax: 662-257-7080 | |
Justin Lee Knight, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 Earl Frye Blvd, Amory, MS 38821 Phone: 662-257-4048 Fax: 662-257-4080 | |
Alyson Rae Key, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Earl Frye Blvd, Amory, MS 38821 Phone: 662-257-4048 Fax: 662-257-4080 |