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

Mr. Randall Ray Ironside, PT

Individual provider Physical Therapist · NPI 1962473421

Mr. Randall Ray Ironside, PT is a Physical Therapist in Rogers, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

3625 W Chestnut St
Rogers, AR 72756
Phone: (479) 631-3955
Fax: (479) 631-0152
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT396 (AR)

Record details

NPI number1962473421
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 31, 2006
Last updated in NPPESMarch 6, 2008
Mailing address908 Nw 8th St, Bentonville, AR 72712

Other providers in Rogers