Todd Vincent Randall, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011055 Issued in OH

Practice address

3224 Dayton Xenia Rd
Suite 120
Beavercreek, OH 45434-6481

Phone

(937) 426-5555

Fax

(937) 426-5556

NPI assigned

Oct 24, 2006

Last updated

Aug 26, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beacon Orthopaedics and Sports Medicine LTDGroup PAC ID 0345136412, 471 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beacon Orthopaedics & Sports Medicine, LTD

  dba OrthoAlliance of Ohio

  • Specialist
  • Cincinnati, OH
  • NPI 1386670065

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Drayer Physical Therapy Northern Ohio LLC

  • Physical Therapist
  • Dayton, OH
  • NPI 1871919969
  Medicare reassignment NPD
• Beacon Orthopaedics & Sports Medicine LTD

  dba Ortho Foot and Ankle DBA OrthoAlliance of Ohio

  • Orthopaedic Foot and Ankle Surgery Physician
  • Worthington, OH
  • NPI 1699472878
  NPD
• Joint Implant Surgeons, Inc.

  • Orthopaedic Surgery Physician
  • New Albany, OH
  • NPI 1437143880
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1023191715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 DAYTON XENIA RD",
            "address_2": "SUITE 120",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346481",
            "telephone_number": "937-426-5555",
            "fax_number": "937-426-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 DAYTON XENIA RD",
            "address_2": "SUITE 120",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346481",
            "telephone_number": "937-426-5555",
            "fax_number": "937-426-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "TODD",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "011055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108341",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000360867",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Rachman, LAC
• Melanie C Raffoul, MD
• Amie Marie Raines, RN
• Morgan K Raines, LISW
• Chester R Raleigh, LICDC
• Ellen K Ratay, APRN
• Linda M. Rauch, LPCC, LICDC, LSW
• Shanna Renee Ream, FNP-C
• Breanna Reed
• Jill M Reese, APRN-CNS

• Physical Therapist in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.