Brandy Nicole Randolph, PTA

Physical Therapy Assistant · Broken Arrow, OK

Individual Active NPI

NPI number 1083271993

Practice location

17110 E 51st St
Broken Arrow, OK 74012-9279
Phone
(918) 355-1596

Open in Google Maps

NPI record

NPI
1083271993
Entity type
Individual (Type 1)
Enumeration date
May 27, 2019
Last updated
May 27, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 1957 OK

Mailing address

2914 S 125TH East Ave
Tulsa, OK 74129-8427
Phone
(918) 815-1486

About Brandy Randolph

Brandy Nicole Randolph, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 17110 E 51st St, Broken Arrow, OK 74012-9279. The NPI number 1083271993 was assigned on May 27, 2019 and the record was last updated on May 27, 2019.

Brandy Randolph lists a license in the registry: #1957 (OK) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brandy Nicole Randolph, PTA?

The NPI number is 1083271993.

What is the phone number of Brandy Randolph?

The phone number listed for the practice location is (918) 355-1596.

Where is Brandy Randolph located?

17110 E 51st St, Broken Arrow, OK 74012-9279.

What is the taxonomy code for Brandy Randolph?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physical Therapy Assistant providers in Broken Arrow

All Physical Therapy Assistant providers in Broken Arrow, OK →