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JEREMIAH THOMAS RANDALL PT
NPI 1366770828
Physical Therapist - Sports in Iola, KS

Active since November 21, 2009
1336 N WALNUT ST, IOLA, KS 66749(620) 365-6989 Get Directions Write a Review

NPPES record last updated: November 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeremiah Thomas Randall Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMIAH THOMAS RANDALL PT (NPI 1366770828) is an individual sports provider in Iola, Kansas, licensed in Kansas (11-04026) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1366770828
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameJEREMIAH THOMAS RANDALLCredential: PT
Location Address1336 N WALNUT STIola, KS 66749-1601
Mailing Address10684 W 825 RdMound City, KS 66056-9112 · (913) 645-0264
Phone(620) 365-6989
Sole ProprietorNo
Enumeration DateNovember 21, 2009
✔ NPI 1366770828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
Licenses✔ Licensed in KS · 11-04026✔ Licensed in FL · 24988
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
1336 N WALNUT ST, Iola, KS 66749
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GUEST HOME ESTATE OF IOLA, LLC
Assisted Living Facility
1336 N WALNUT ST
IOLA, KS 66749
Allen County (620) 365-6989
IOLA REHABILITATION & HEALTH CARE CENTER LLC
Nursing Facility/Intermediate Care Facility
1336 N WALNUT ST
IOLA, KS 66749
Allen County (620) 365-6989
GUEST HOME ESTATES OF IOLA,LLC
Assisted Living Facility
1336 N WALNUT ST
IOLA, KS 66749
Allen County (620) 365-8008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremiah Randall's NPI number?

The NPI number for Jeremiah Randall is 1366770828. It was assigned to this individual provider in the NPPES registry on November 21, 2009.

Where is Jeremiah Randall located?

Jeremiah Randall practices at 1336 N Walnut St, Iola, KS 66749. The listed phone number is (620) 365-6989.

What is Jeremiah Randall's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Jeremiah Randall was last updated on November 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.