Breakthrough Physical Therapy
NPI 1396522736ActiveOrganization· Physical Therapist· Amory, MS
Physical Therapist in Amory, Mississippi, registered in NPPES in September 2023. The authorized official on file is Zachary Randolph, DPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1396522736 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 11, 2023 |
| Last updated in NPPES | May 15, 2026 |
| Certified by provider | May 15, 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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) |
|---|
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