Nicholas Shane Randolph is a Miami, Oklahoma based pta who is specialized as
Physical Therapist Assistant. Active license number of Nicholas Shane Randolph as Physical Therapist Assistant is
2852 in Oklahoma.
Nicholas Shane Randolph is an individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. He help patients to 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.
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.
Complete Profile:
Nicholas Shane Randolph speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Physical Therapy Assistant |
| Credentials: | PTA |
| Gender: | Male |
| Practice Address: | 2225 N Main St, Miami,
Oklahoma, 74354-1620 |
| Phone: | 918-542-4101 |
| Fax: | 918-542-4410 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1528765179 |
| NPI Enumeration Date: | 14 Feb, 2023 |
| NPI Last Update On: | 14 Feb, 2023 |
Medical Licenses:
PTA's can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicholas Shane Randolph are as mentioned below.
| License Number | Specialization | State | Status | |
| 2852 | Physical Therapist Assistant | Oklahoma | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Nicholas Shane Randolph such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2852 | Other | Oklahoma | PTA LICENSURE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2225 N Main St,
Miami, Oklahoma |
| Zip: | 74354-1620 |
| Phone Number: | 918-542-4101 |
| Fax Number: | 918-542-4410 |
Patients can reach Nicholas Shane Randolph at
2225 N Main St, Miami, Oklahoma or can
call to book an appointment on 918-542-4101.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.