Individual provider Active NPI

Richard Stanley Randall, P.T.

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1174620751
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
RPT 569 Issued in AZ
Practice address
2175 N Alma School Rd Ste A106
Chandler, AZ 85224-2802
Phone
(480) 730-5656
Fax
(480) 730-9969
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X RPT 569 AZ Primary

Addresses

Primary practice location

2175 N Alma School Rd Ste A106
Chandler, AZ 85224-2802

Mailing address

2175 N Alma School Rd Ste A106
Chandler, AZ 85224-2802
Phone (480) 730-5656

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
RPT 569AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Randall Physical Therapy PastSince Aug 14, 1992 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174620751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 N ALMA SCHOOL RD STE A106",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242802",
            "telephone_number": "480-730-5656",
            "fax_number": "480-730-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 N ALMA SCHOOL RD STE A106",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242802",
            "telephone_number": "480-730-5656",
            "fax_number": "480-730-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "RICHARD",
        "middle_name": "STANLEY",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "RPT 569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

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.

Verify at the official NPI Registry.