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

Jac Randall Doran

Individual provider Physical Therapist · NPI 1821323957

Jac Randall Doran is a Physical Therapist in Private Practice in Ozark, Missouri. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1989, 37 years ago. Practices with Willard Physical Therapy Center LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
37
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
MO
In the registry since
2009
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1948 E Chesapeake Dr
Ozark, MO 65721-7815
Phone: (417) 551-3210
Fax: (888) 527-0428
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence R1148 (MO)

Record details

NPI number1821323957
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 7, 2009
Last updated in NPPESOctober 7, 2009
Mailing address6104 N 27th St, Ozark, MO 65721-5857

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Willard Physical Therapy Center Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ozark