Active NPI
Whitney Marie Randall, PT, DPT
- Physical Therapist
- Chesapeake, VA
National Provider Identifier
1013401207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305211994
- Practice address
- 135 Hanbury Rd W Ste B
Chesapeake, VA 23322-4291 - Phone
- (757) 819-6512
- Fax
- (757) 819-6517
- NPI assigned
- Jun 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305211994 | VA | Primary |
Addresses
Primary practice location
135 Hanbury Rd W Ste B
Chesapeake, VA 23322-4291
Mailing address
PO Box 69030
Baltimore, MD 21264-9030
Phone (757) 873-2302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2260 Fremont St
Monterey, CA 93940-5449
Phone (831) 372-4782
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Physical Therapy & Human Performance Center, Inc | Physical Therapist | Current | Accepting new patients |
| Balance Physical Therapy & Human Performance Center, Inc | Past | Accepting new patients |
Locations
2260 Fremont St
Monterey, CA 93940
Phone (831) 372-4782
143 John St
Salinas, CA 93901
Phone (831) 422-4782
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Salinas, CA
- NPI 1174648554
-
- Sports Physical Therapist
- Moorpark, CA
- NPI 1861664377
-
- Occupational Therapist
- Monterey, CA
- NPI 1336715267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1013401207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69030",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212649030",
"telephone_number": "757-873-2302",
"fax_number": "757-873-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 HANBURY RD W STE B",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233224291",
"telephone_number": "757-819-6512",
"fax_number": "757-819-6517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "WHITNEY",
"middle_name": "MARIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-20",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305211994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.