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

Zachary James Randolph, DPT

Individual provider Physical Therapist · NPI 1023663317

Zachary James Randolph, DPT is a Physical Therapist in Private Practice in Amory, Mississippi. Qualified in 2019, 7 years ago. Practices with Breakthrough Physical Therapy, a 10-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

60368 Cotton Gin Port Rd
Amory, MS 38821
Phone: (662) 257-3669
Fax: (662) 257-3961
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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 PT6683 (MS)

Record details

NPI number1023663317
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 5, 2019
Last updated in NPPESNovember 27, 2023
Certification dateNovember 20, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Breakthrough Physical Therapy — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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