Michelle Randall

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30096 Issued in MD

Practice address

6451 N Charles St
Baltimore, MD 21212-1010

Phone

(877) 407-3422

Fax

(877) 407-4329

NPI assigned

Aug 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calverthealth Medical Center IncGroup PAC ID 2668370065, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Calverthealth Medical Center, Inc.

  dba CalvertHealth Outpatient Rehabilitation Prince Frederick

  • Physical Therapy Clinic/Center
  • Prince Frederick, MD
  • NPI 1558718668

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Fox Rehabilitation Services LLC

  • Physical Therapist
  • Winchester, VA
  • NPI 1609814755

  DC

  Medicare reassignment NPD
• Calverthealth Medical Center, Inc.

  dba CalvertHealth Outpatient Rehabilitation Dunkirk

  • Physical Therapy Clinic/Center
  • Dunkirk, MD
  • NPI 1578910683

  Physical Therapist

  NPD
• Calverthealth Medical Center, Inc.

  dba CalvertHealth Medical Center

  • General Acute Care Hospital
  • Prince Frederick, MD
  • NPI 1457389298
  NPD (past)

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1013749993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CARNEGIE PLZ",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031000",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121010",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared D Randall
• Katherine Randall
• Khadijah Randall
• Louis Randall
• Louis Nathaniel Randall Jr., LCPC
• Tania Vucich Randell, ACCNS-AG
• Faisal Jawed Randhawa, P.A-C
• Helena Randle
• Jasmin Randolph
• Michael Anthony Randolph, M.D.

• Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.