Rebecca Jane Randolph, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1885 Issued in WV

Practice address

3910 Teays Valley Rd
Hurricane, WV 25526-9756

Phone

(304) 757-7293

Fax

(304) 757-0574

NPI assigned

Sep 16, 2006

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

Other identifiers 1

Other names 1

• Rebecca Jane Odell Former name

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

West Virginia University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greenbrier Valley Physical Therapy LLCGroup PAC ID 3870499957, 57 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.3 of 100Reported as group

Quality

71.18

Promoting interoperability

92

Improvement activities

40

Cost

79.82

Medicare enrollment (NPD)

Enrolled

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.

• Greenbrier Valley Physical Therapy, LLC

  dba West Virginia Physical Therapy & Wellness Center

  • Physical Therapist
  • Lewisburg, WV
  • NPI 1619260353
  Medicare reassignment Care Compare group NPD
• Teays Physical Therapy Center, Inc.

  • Physical Therapy Clinic/Center
  • Hurricane, WV
  • NPI 1538123005

  Physical Therapist

  Medicare reassignment NPD
• Greenbrier Valley Physical Therapy LLC

  dba Bodyworks Physical Therapy

  • Specialist
  • Princeton, WV
  • NPI 1447932744
  NPD
• Greenbrier Valley Physical Therapy LLC

  dba Active Fitness and Physical Therapy

  • Specialist
  • Victor, WV
  • NPI 1518687649
  NPD
• Teays Physical Therapy Center, Inc.

  • Physical Therapy Clinic/Center
  • Saint Albans, WV
  • NPI 1861632705
  NPD

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1073619813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269756",
            "telephone_number": "304-757-7293",
            "fax_number": "304-757-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269756",
            "telephone_number": "304-757-7293",
            "fax_number": "304-757-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "REBECCA",
        "middle_name": "JANE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "1885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006514",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "ODELL",
            "middle_name": "JANE",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ann Marie Ramey
• Michelle Marie Ramey
• Jessica Ramsey, LPN
• Mary Ramsey
• Hannah Danielle Randolph, LPC
• David Summers Ratliff, MD
• Nicholas Alexander Raubitschek, MD
• David Forrest Reaser
• Bianca Reed
• Amy Rexroad

• Physical Therapist in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.