Individual provider Active NPI

Ian Alan Randle, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1083310346
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13881 Issued in MN
Practice address
5393 S Calle Santa Cruz Ste 107
Tucson, AZ 85706-3556
Phone
(520) 225-0129
NPI assigned
Feb 7, 2023
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X AZ
Physical Therapist 225100000X 13881 MN Primary
Physical Therapist 225100000X NU
Physical Therapist 225100000X 0020043 CO
Physical Therapist 225100000X 16985 WI
Physical Therapist 225100000X 304008 CA

Addresses

Primary practice location

5393 S Calle Santa Cruz Ste 107
Tucson, AZ 85706-3556

Mailing address

5161 E Arapahoe Rd Ste 250
Centennial, CO 80122-4810

Other practice location 1

6515 Barrie Rd Ste 100
Edina, MN 55435-2364
Phone (952) 922-5019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MN, AZ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240130002639 CA Practitioner - Physical Therapist in Private Practice 4981078037 Reassigns benefits to 1 organization
I20250920000725 MN Practitioner - Physical Therapist in Private Practice 4981078037 Reassigns benefits to 1 organization
I20251017003975 AZ Practitioner - Physical Therapist in Private Practice 4981078037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians

Practice addresses (Care Compare)

10091 Dogwood St NW
Coon Rapids, MN 55448-5273
Phone (763) 450-0298

5393 S Calle Santa Cruz
Suite 107
Tucson, AZ 85706-3556
Phone (520) 225-0129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
304008CAMDPhysical Therapist
0020043COMDPhysical Therapist
13881MNMDPhysical Therapist
16985WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select CS Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Jan 8, 2024 Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Aug 13, 2025 Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Jan 8, 2024 Accepting new patients
Novacare Outpatient Rehabilitation East Inc Physical Therapist Current Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. CurrentSince Aug 13, 2025 Accepting new patients
Theraphysics Partners of Colorado Inc Past Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Past Accepting new patients
Theraphysics Partners of Colorado, Inc. Past Accepting new patients
Select Physical Therapy of Denver LTD Physical Therapist Past Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

5393 S Calle Santa Cruz
Ste 107
Tucson, AZ 85706
Phone (520) 225-0129

1310 W Stewart Dr
Ste 404
Orange, CA 92868
Phone (714) 707-6466

500 San Fernando Mission Blvd
Ste 100
San Fernando, CA 91340
Phone (323) 770-2871

2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

10091 Dogwood St NW
Minneapolis, MN 55448
Phone (763) 450-0298

6515 Barrie Rd
Ste 100
Minneapolis, MN 55435
Phone (952) 922-1384

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1083310346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 E ARAPAHOE RD STE 250",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801224810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5393 S CALLE SANTA CRUZ STE 107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857063556",
            "telephone_number": "520-225-0129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6515 Barrie Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352364",
            "country_code": "US",
            "telephone_number": "952-922-5019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDLE",
        "first_name": "IAN",
        "middle_name": "ALAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-07",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13881",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0020043",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16985",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.