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

Randi Deyong

Individual provider Physical Therapy Assistant · NPI 1528796943

Randi Deyong is a Physical Therapy Assistant in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

200 Brightly Way
Glen Carbon, IL 62034-3415
Phone: (618) 307-5034
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X (IL)

Record details

NPI number1528796943
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2022
Last updated in NPPESAugust 12, 2022
Certification dateAugust 9, 2022
Mailing address200 Brightly Way, Glen Carbon, IL 62034-3415

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