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

Mr. Randall Lewis Craig, PTATC

Individual provider Physical Therapist · NPI 1306946389

Mr. Randall Lewis Craig, PTATC is a Physical Therapist in Private Practice in Chesterfield, Missouri. Qualified in 1988, 38 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
38
Licensed in
MO
In the registry since
2006
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Practice location Address checks out

134 Chesterfield Valley Dr
Chesterfield, MO 63005-1161
Phone: (636) 812-0094
Fax: (636) 812-0152
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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 R1130 (MO)

Record details

NPI number1306946389
Entity typeIndividual (Type 1)
GenderMale
Credentials PTATC
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESNovember 6, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chesterfield