Randi Spence, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1240411 Issued in TX

Practice address

12520 Willow Springs Rd Ste 104
Haslet, TX 76052-3584

Phone

(817) 210-6196

Fax

(817) 782-9303

NPI assigned

Feb 10, 2014

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coppell Spine and Sports Rehab Limited PartnershipGroup PAC ID 1850200551, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Coppell Spine & Sports Rehab Limited Partnership

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1720276652
  Medicare reassignment Care Compare group NPD
• Coppell Spine & Sports Rehab Limited Partnership

  • Physical Therapy Clinic/Center
  • Coppell, TX
  • NPI 1669490629
  NPD (past)

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1205250339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2650",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750198607",
            "telephone_number": "972-724-2400",
            "fax_number": "972-724-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 WILLOW SPRINGS RD STE 104",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760523584",
            "telephone_number": "817-210-6196",
            "fax_number": "817-782-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "RANDI",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1240411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Carolina Simpson, PT, DPT
• Kristi Spencer Sivers, MS, CCC-SLP
• Solutions Psychiatry PLLC
• Bianka Soria-Olmos, D.O.
• Specialized Innovative Therapies, LLC
• Katelyn Marie Spencer, CCC-SLP
• Sprout and Blossom Counseling Center
• Whitney Marie Stanback, LPN
• Steven D. Alaniz, DDS, PLLC
• Kelsey Stinson, FNP-C

• Physical Therapist in Haslet, TX
• Providers in Haslet, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.