Individual provider Active NPI

Jonathan Bernard Randle, PT, DPT

  • Physical Therapist
  • North Little Rock, AR
National Provider Identifier
1225576606
Registry record updated Jun 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4262 Issued in AR
Practice address
11100 Highway 165 Ste 5
North Little Rock, AR 72117-9781
Phone
(501) 945-0200
Fax
(501) 945-0245
NPI assigned
Feb 6, 2017
Last updated
Jun 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP017265T TX
Physical Therapist 225100000X 4262 AR Primary

Addresses

Primary practice location

11100 Highway 165 Ste 5
North Little Rock, AR 72117-9781

Mailing address

PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134

Other practice location 1

1640 Basswood Blvd
Saginaw, TX 76131-4967
Phone (817) 502-6933

Other practice location 2

3231 Main St Ste 3
Bryant, AR 72022-9201
Phone (501) 847-0500

Other practice location 3

1515 N Center St Ste 5
Lonoke, AR 72086-2100
Phone (501) 676-5540

Other practice location 4

6564 Loisdale Ct Ste 500
Springfield, VA 22150-1823
Phone (703) 822-0039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, DC, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170323002651 AR Practitioner - Physical Therapist in Private Practice 0345525820 Reassigns benefits to 3 organizations
I20210913000182 DC Practitioner - Physical Therapist in Private Practice 0345525820 Reassigns benefits to 1 organization
I20211018002316 VA Practitioner - Physical Therapist in Private Practice 0345525820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health and Rehab LLCGroup PAC ID 1951792480, 8 clinicians
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

11100 Hwy 165
Suite 5
North Little Rock, AR 72117-9781
Phone (501) 945-0200

3231 Main St
Suite 3
Bryant, AR 72022-9201
Phone (501) 847-0500

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4262ARMDPhysical Therapist
CP017265TTXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Jan 31, 2024 Accepting new patients
South Arkansas Orthopaedics and Sports Medicine Center PLLC CurrentSince Feb 2, 2017 Accepting new patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Sep 7, 2021 Accepting new patients
Arkansas Health & Rehab LLC Physical Therapist CurrentSince Aug 13, 2025 Accepting new patients
Athletico LTD Physical Therapist Current Accepting new patients
Lonoke Physical Therapy, Inc Physical Therapist CurrentSince Jun 23, 2025 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Aug 1, 2021 Accepting new patients
Orthosc, LLC PastSince May 29, 2022 Accepting new patients

Locations

3231 Main St
Ste 3
Bryant, AR 72022
Phone (501) 847-0500

2700 Vine St
El Dorado, AR 71730
Phone (870) 862-1144

20800 Arch Street Pike
Hensley, AR 72065
Phone (501) 261-7722

1515 N Center St
Ste 5
Lonoke, AR 72086
Phone (501) 676-5540

11100 Highway 165
Ste 5
North Little Rock, AR 72117
Phone (501) 945-0200

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

5615 Colleyville Blvd
Ste 130
Colleyville, TX 76034
Phone (817) 576-0995

125 N MacArthur Blvd
Irving, TX 75061
Phone (972) 887-3318

5250 Highway 78
Ste 200
Sachse, TX 75048
Phone (972) 244-4270

1640 Basswood Blvd
Saginaw, TX 76131
Phone (817) 502-6339

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

6564 Loisdale Ct
Ste 500
Springfield, VA 22150
Phone (703) 232-7977

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750464000000",
    "number": "1225576606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "406-756-0134",
            "fax_number": "406-300-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 HIGHWAY 165 STE 5",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721179781",
            "telephone_number": "501-945-0200",
            "fax_number": "501-945-0245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 Basswood Blvd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "TX",
            "postal_code": "761314967",
            "country_code": "US",
            "telephone_number": "817-502-6933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3231 Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bryant",
            "state": "AR",
            "postal_code": "720229201",
            "country_code": "US",
            "telephone_number": "501-847-0500",
            "fax_number": "501-847-0508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 N Center St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Lonoke",
            "state": "AR",
            "postal_code": "720862100",
            "country_code": "US",
            "telephone_number": "501-676-5540",
            "fax_number": "501-676-6499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6564 Loisdale Ct Ste 500",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221501823",
            "country_code": "US",
            "telephone_number": "703-822-0039",
            "fax_number": "703-822-0211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDLE",
        "first_name": "JONATHAN",
        "middle_name": "BERNARD",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "CP017265T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "4262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.