Nicole Summer Randall, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

37524 Issued in FL

Practice address

3909 S Summerlin Ave
Orlando, FL 32806-6905

Phone

(407) 317-3200

NPI assigned

Aug 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1003584616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 LEE RD STE 330",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891740",
            "telephone_number": "800-251-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 S SUMMERLIN AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066905",
            "telephone_number": "407-317-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "NICOLE",
        "middle_name": "SUMMER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "37524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uzma Ayyaz Rana, MD
• Kimberly Ranachowski, PTA
• Jayant Ranawat, MD
• Lacey Maye Rancourt, APRN
• Jennifer Elaine Randall
• Nikole Randall
• Vernon Glenard Randall, LMHC
• Robert L. Randell Jr., M.D.
• Jontae Lakesha Randle
• Byron Martin Randolph, DPT

• Physical Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.