Chad Randolph, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-007949 Issued in IL

Practice address

651 S Route 59
Aurora, IL 60504-8169

Phone

(630) 547-8000

Fax

(630) 547-8001

NPI assigned

Dec 29, 2005

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Valley Orthopaedic Associates, PLLCGroup PAC ID 6507830387, 73 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chad.randolph.1@26750.direct.athenahealth.com

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.

• Fox Valley Orthopaedic Associates, PLLC

  • Orthopaedic Surgery Physician
  • Geneva, IL
  • NPI 1295706851
  Medicare reassignment Care Compare group NPD
• Dupage Medical Group LTD

  dba DuPage Medical Group

  • Multi-Specialty Clinic/Center
  • Downers Grove, IL
  • NPI 1801833983

  Physical Therapist

  Medicare reassignment NPD
• Dupage Medical Group LTD

  • Durable Medical Equipment & Medical Supplies
  • Glen Ellyn, IL
  • NPI 1760979447
  NPD
• Fox Valley Orthopaedic Associates, PLLC

  dba Fox Valley Orthopaedic Ambulatory Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Geneva, IL
  • NPI 1104897644
  NPD
• Fox Valley Orthopaedic Associates, S.C.

  • Orthopaedic Surgery Physician
  • Elgin, IL
  • NPI 1689212623
  NPD

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1033196100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 S ROUTE 59",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048169",
            "telephone_number": "630-547-8000",
            "fax_number": "630-547-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "CHAD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-007949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crandolph84283@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "651 S Route 59",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605048169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carmen J Ramos
• Melissa Ramos, SA
• Rampnow LLC
• Ramsis Ghaly MD SC
• Kody Randa
• Shannon Marie Rankin, M.A.
• Lauren Rapp, MSW, LSW
• Imran Rasheed
• Anya Raskin, M.D.
• Aleta E. Rasmussen

• Physical Therapist in Aurora, IL
• Providers in Aurora, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.