Organization
BREAKTHROUGH PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY JAMES RANDOLPH DPT (OWNER)
(662) 315-6583
Entity
Organization
Contact information
Practice address
7154 HIGHWAY 45 N, NETTLETON, MS 38858-8378
(662) 591-1077
(662) 591-1024
Mailing address
60368 COTTON GIN PORT RD, AMORY, MS 38821-9104
(662) 257-3669
(662) 257-3961
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/15/2026
Last updated
07/02/2026
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