Active NPI
Shelby Randolph, DPT
- Physical Therapist
- Ames, IA
National Provider Identifier
1053944017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 096285
- Practice address
- 3600 Lincoln Way
Ames, IA 50014-7595 - Phone
- (515) 663-4824
- NPI assigned
- Feb 18, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4263 | NE | |
| Physical Therapist | 225100000X | 096285 | IA | Primary |
Addresses
Primary practice location
3600 Lincoln Way
Ames, IA 50014-7595
Mailing address
1215 Duff Ave
Ames, IA 50010-5469
Phone (515) 239-4400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | srandolph117268@directmcfarlandclinic.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 W Lincolnway
Ames, IA 50010-7595
Phone (515) 663-4892
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.76 of 100
- Quality
- 89.57
- Improvement activities
- 40
- Cost
- 71.67
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.35 of 100
- Quality
- 85.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4263 | NE | MD | Dentist |
| 096285 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McFarland Clinic PC | Current | Accepting new patients | |
| McFarland Clinic. PC | Past | Accepting new patients | |
| McFarland Clinic, PC | Past | Accepting new patients |
Locations
3600 Lincoln Way
Ames, IA 50014
Phone (515) 239-4492
1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400
3600 Lincoln Way
Ste 4
Ames, IA 50014
Phone (515) 239-4410
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.
-
- Multi-Specialty Clinic/Center
- Ames, IA
- NPI 1639135643
-
- Eyewear Supplier
- Boone, IA
- NPI 1528149457
-
- Eyewear Supplier
- Ames, IA
- NPI 1508940149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1053944017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 DUFF AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500105469",
"telephone_number": "515-239-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 LINCOLN WAY",
"city": "AMES",
"state": "IA",
"postal_code": "500147595",
"telephone_number": "515-663-4824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDOLPH",
"first_name": "SHELBY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-18",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "4263",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "096285",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "srandolph117268@directmcfarlandclinic.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "3600 Lincoln Way",
"city": "Ames",
"state": "IA",
"country_code": "US",
"postal_code": "500147595",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.