Active NPI
Randy Alan Fleming, P.T.
- Physical Therapist
- Granbury, TX
National Provider Identifier
1043316938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1128395
- Practice address
- 1301 Paluxy Rd
Granbury, TX 76048-5663 - Phone
- (817) 573-8204
- Fax
- (817) 573-8472
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- 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 | 1128395 | TX | Primary |
Addresses
Primary practice location
1301 Paluxy Rd
Granbury, TX 76048-5663
Mailing address
1301 Paluxy Rd
Granbury, TX 76048-5663
Phone (817) 573-8204
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83295T | Other | TX | BLUE CROSS BLUE SHIELD |
| 7047011 | Other | TX | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1128395 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Granbury Hospital Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Granbury, TX
- NPI 1265403778
-
- Physical Therapist
- Granbury, TX
- NPI 1053452714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043316938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 PALUXY RD",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485663",
"telephone_number": "817-573-8204",
"fax_number": "817-573-8472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PALUXY RD",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485663",
"telephone_number": "817-573-8204",
"fax_number": "817-573-8472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "RANDY",
"middle_name": "ALAN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1128395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "83295T",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7047011",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.