Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandy Nicole Randolph, PTA

Individual provider Physical Therapy Assistant · NPI 1083271993

Brandy Nicole Randolph, PTA is a Physical Therapy Assistant in Broken Arrow, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

17110 E 51st St
Broken Arrow, OK 74012-9279
Phone: (918) 355-1596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1957 (OK)

Record details

NPI number1083271993
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMay 27, 2019
Last updated in NPPESMay 27, 2019

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