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Deactivated NPI 1710496773 Deactivated / Inactive NPI Male Practitioner

Kirt Leigh Randolph

Physical Therapy Assistant • Newark, DE

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kirt Randolph has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 21, 2017
NPI Deactivation Date January 11, 2022
Total Practice Duration ~5 Years of Practice (2017 – 2022)

Professional Overview & Biography Verified Profile Summary

Kirt Randolph was a registered Physical Therapy Assistant practicing in Newark, DE. Throughout an active medical career spanning 5 years, Kirt Randolph provided care at the practice location at 229 BARRETT RUN PLACE until profile deactivation on 2022-01-11.

Practice Location & Contact Primary Location

Practice Address

229 Barrett Run Place

Newark, DE 19702

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapy Assistant in Newark, DE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
22 Specialists

Practicing in Newark, DE (234 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

State License DE J2-0001122

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 11, 2022

Record deactivated on January 11, 2022

NPI Profile Active September 21, 2017

NPI status registered as active in NPPES database

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Updated Practice Location September 21, 2017

Registered at 229 BARRETT RUN PLACE, NEWARK, DE 19702 (Tel: (347) 965-4028)

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Updated Business Mailing Address September 21, 2017

Registered at 229 BARRETT RUN PL, NEWARK, DE 197022970 (Tel: 3479654028)

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Provider Name / Credentials Updated September 21, 2017

Recorded as KIRT RANDOLPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2017

Physical Therapy Assistant (License #J2-0001122 in DE)

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Initial NPI Registration & Enumeration September 21, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710496773
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2017
Last Update: September 21, 2017
Deactivation Date: January 11, 2022

Mailing Address

229 Barrett Run Pl

Newark, DE 197022970

Phone: 3479654028

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.