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

Mr. Randall Ray Ironside, PT

Individual provider Physical Therapist · NPI 1962473421

Mr. Randall Ray Ironside, PT is a Physical Therapist in Rogers, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

3625 W Chestnut St
Rogers, AR 72756
Phone: (479) 631-3955
Fax: (479) 631-0152
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT396 (AR)

Record details

NPI number1962473421
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 31, 2006
Last updated in NPPESMarch 6, 2008

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