Breakthrough Physical Therapy
NPI 1144159294ActiveOrganization· Physical Therapist· Nettleton, MS
Physical Therapist in Nettleton, Mississippi, registered in NPPES in May 2026. The authorized official on file is Zachary James Randolph, DPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1144159294 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 15, 2026 |
| Last updated in NPPES | Jul 2, 2026 |
| Certified by provider | Jul 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MS) |
|---|
Other Physical Therapist providers in Nettleton
- 1962816447
- 1467930537
- 1952813677