Randall Green, PT

InactiveIndividual ProviderPhysical Therapy
NPI issued: August 3, 2005

Quick Facts

NPI Number
1457352056
TypeIndividual
StatusInactive
SpecialtyPhysical Therapy
Taxonomy225100000X — Physical Therapy
Phone
(501) 315-0639
StateAR

NPI Validation Status: Deactivated

✅Valid 10-digit NPI number (1457352056)
❌Active status: Deactivated / Inactive
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (August 3, 2005)
Data source: CMS NPPES

Provider Overview

RANDALL GREEN, PT is a Physical Therapy provider based in Benton, AR who has been registered with CMS since 2005. This NPI is currently Deactivated under CMS NPPES registry.

Provider Details

NPI Number1457352056
Provider TypeIndividual Provider
GenderMale
CredentialPT
StatusInactive
Enumeration DateAugust 3, 2005

Practice Location

CityBenton
StateAR
ZIP Code72015-3512
Phone(501) 315-0639

Specialties & Licenses

★ Primary
SpecialtyPhysical Therapy
Taxonomy Code225100000X
License StateAR

Mailing Address

CityBenton
StateAR
ZIP Code72015-3512
Phone(501) 315-0639
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1457352056 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1457352056for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1457352056 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physical Therapy

Specialists in Physical Therapy provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Physical Therapyproviders →
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287,077
Physical Therapy Providers in the US

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People Also Ask

What is Randall Green's NPI number?
Randall Green's NPI number is 1457352056, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Randall Green's NPI currently active?
No, Randall Green's NPI status is Inactive as of the latest CMS NPPES database updates.
What does Randall Green specialize in?
Randall Green specializes in Physical Therapy. The healthcare taxonomy code associated with this specialty is 225100000X.
Where does Randall Green practice?
Randall Green practices in Benton, AR 72015-3512.
When was Randall Green's NPI issued?
Randall Green's NPI was issued on August 3, 2005.
What is Randall Green's provider type?
Randall Green is registered as an Individual Provider under CMS NPI Type 1.