Blackline Recovery

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BLACKLINE RECOVERY

Practice address

11693 N Garnett Rd
Collinsville, OK 74021-5417

Phone

(918) 729-5396

NPI assigned

Jun 12, 2025

Organization subpart

No

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

Authorized official

Name

Randye Nichole Dixon, PT, DPTNPI 1336763127

Title

Doctor of Physical Therapy/Owner

Phone

(918) 729-5396

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randye N Dixon, PT-DPT

  • Physical Therapist
  • Claremore, OK
  • NPI 1336763127
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1619862265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11693 N GARNETT RD",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740215417",
            "telephone_number": "918-729-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11693 N GARNETT RD",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740215417",
            "telephone_number": "918-729-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKLINE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "RANDYE",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY/OWNER",
        "authorized_official_telephone_number": "918-729-5396",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthonys Safe-Haven
• Mary K Barbee
• Beatty-JTJV LLC
• Donna Jean Berryhill, P.T.A.
• Ben D Blackburn, DPH
• Melissa Bowler, DDS
• Bridge to Wellness, LLC
• Kelsey Brown
• Jan Byerly, APRN
• Gary Cannon, D.O.

• Physical Therapy Clinic/Center in Collinsville, OK
• Providers in Collinsville, OK by specialty
• Physical Therapy Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.