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

Randall Green, PT

Individual provider Physical Therapist · NPI 1457352056

Randall Green, PT is a Physical Therapist in Benton, Arkansas. Licensed in Arkansas. Registered with an NPI since 2005.

Licensed in
AR
In the registry since
2005
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

1115 Ferguson Dr
Benton, AR 72015-3512
Phone: (501) 315-0639
Fax: (501) 315-7278
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence AR482 (AR)

Record details

NPI number1457352056
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 3, 2005
Last updated in NPPESJune 5, 2008
Mailing address1115 Ferguson Dr, Benton, AR 72015-3512

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