Matthew Thomas Randel

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1262588 Issued in TX

Practice address

1901 Babcock Rd Ste 304
San Antonio, TX 78229-4546

Phone

(210) 680-5033

Fax

(210) 680-6094

NPI assigned

Aug 13, 2015

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

Medicare fee-for-service enrollment

Enrolled in TX, NM2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southlake BNPT Investment LLCGroup PAC ID 5991136095, 8 clinicians

NM BNPT Investment LLCGroup PAC ID 9436567468, 4 clinicians

NM Santa Fe PT Investment LLCGroup PAC ID 0446667414, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• NM BNPT Investment LLC

  • Physical Therapy Clinic/Center
  • Las Vegas, NM
  • NPI 1376132738

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• NM Santa Fe PT Investment LLC

  • Physical Therapy Clinic/Center
  • Santa Fe, NM
  • NPI 1063001881

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Southlake BNPT Investment LLC

  dba Professional Therapy Services of Texas

  • Physical Therapy Clinic/Center
  • San Antonio, TX
  • NPI 1205468683
  Medicare reassignment Care Compare group
• Behavioral Support & Nursing Services, LLC

  • Mental Health Counselor
  • San Antonio, TX
  • NPI 1235768250
  Medicare reassignment
• Physical Therapy Center, LLC

  dba Physical Therapy Center

  • Physical Therapy Clinic/Center
  • Las Vegas, NM
  • NPI 1174867915

  Physical Therapist

  NPD

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1114393139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291228",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782291828",
            "telephone_number": "210-680-5033",
            "fax_number": "210-680-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 BABCOCK RD STE 304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294546",
            "telephone_number": "210-680-5033",
            "fax_number": "210-680-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDEL",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1262588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylyn Pratt Randall, PA
• Mandy Randall, LPC, LCDC
• Tyler J Randall, M.D.
• Randdolf Physicians PLLC (StarMed Clinic)
• Abigail Randecker, RD, LD
• Angelina Amelii Randez
• Jeewanjot Singh Randhawa
• Caio Randi Ferraz, DDS, MS, PHD
• Latiffia Randle
• Cheryl Kirby Randol, D.D.S.

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.