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

Jeremy Randolph, PT

Individual provider Physical Therapist · NPI 1558815985

Jeremy Randolph, PT is a Physical Therapist in Private Practice in Louisville, Kentucky. Qualified in 2016, 10 years ago. Practices with Osptky LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
10
Licensed in
KY
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

11330 Maple Brook Dr
Louisville, KY 40241-2080
Phone: (502) 426-2221
Fax: (502) 426-2210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 006908 (KY)

Record details

NPI number1558815985
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 15, 2016
Last updated in NPPESAugust 15, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Osptky Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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