Active NPI
Christopher Harrison Randazzo, PT
- Physical Therapist
- Bryson City, NC
National Provider Identifier
1205317575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P18067
- Practice address
- 80 Songbird Forest Rd
Bryson City, NC 28713-0929 - Phone
- (828) 488-0040
- Fax
- (828) 354-0209
- NPI assigned
- Aug 24, 2018
- Last updated
- Aug 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P18067 | NC | Primary |
Addresses
Primary practice location
80 Songbird Forest Rd
Bryson City, NC 28713-0929
Mailing address
90 E Main St Ste a
Sylva, NC 28779-3030
Phone (828) 550-3923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P18067 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Indian Hospital Authority | Current | Accepting new patients | |
| Cherokee Indian Hospital Authority | Current | Accepting new patients | |
| Cherokee Indian Hospital Authority | Current | Accepting new patients | |
| Custom Nutrition & Wellness LLC | Past | Accepting new patients | |
| Cherokee Indian Hospital Authority | Past | Accepting new patients |
Organizations & group practices 5
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.
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-
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- Cullowhee, NC
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1205317575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 E MAIN ST STE A",
"city": "SYLVA",
"state": "NC",
"postal_code": "287793030",
"telephone_number": "828-550-3923",
"fax_number": "828-354-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SONGBIRD FOREST RD",
"city": "BRYSON CITY",
"state": "NC",
"postal_code": "287130929",
"telephone_number": "828-488-0040",
"fax_number": "828-354-0209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDAZZO",
"first_name": "CHRISTOPHER",
"middle_name": "HARRISON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-24",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P18067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryson City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.