Judson H Randall, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA44803 Issued in FL

Practice address

412 S Howard Ave
Tampa, FL 33606-1770

Phone

(813) 244-4760

NPI assigned

Mar 1, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Hyde Park Massage

  • Pain Clinic/Center
  • Tampa, FL
  • NPI 1265734156
  NPD (past) Authorized official

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

{
    "created_epoch": "1204329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1235309683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "34695",
            "telephone_number": "813-244-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S HOWARD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061770",
            "telephone_number": "813-244-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "JUDSON",
        "middle_name": "H",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-01",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA44803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235309683",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauri Michele Ranchel, MPT
• Becca Ranck
• Katia Rancol Borrero
• Alan Nelson Randall, CRNA
• Courtney Randall, APRN
• Kelsey Randall, PA
• Lauren Brooke Randall, CAA
• Meghan Michelle Randall, RN
• Rodney Richard Randall, M.D.
• Joseph C Randazzo Jr., PA-C

• Massage Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.