Individual provider Active NPI

James A Randolph, PT, DPT

  • Physical Therapist
  • Oak Brook, IL
National Provider Identifier
1255450623
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070012723 Issued in IL
Practice address
1001 Commerce Dr Ste 600
Oak Brook, IL 60523-8914
Phone
(630) 933-1500
Fax
(331) 732-4581
NPI assigned
Mar 28, 2007
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9870 TN
Physical Therapist 225100000X 070012723 IL Primary

Addresses

Primary practice location

1001 Commerce Dr Ste 600
Oak Brook, IL 60523-8914

Mailing address

1001 Commerce Dr Ste 600
Oak Brook, IL 60523-8914
Phone (630) 933-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040614000591 IL Practitioner - Physical Therapist in Private Practice 1951385517 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Orthopedics and Sports Medicine LLCGroup PAC ID 7618955808, 24 clinicians

Practice addresses (Care Compare)

1001 Commerce Dr
Oak Brook, IL 60523-8865

2425 W 22ND St
Suite 103
Oak Brook, IL 60523-4644
Phone (630) 377-1188

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Apr 19, 2022 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 3, 2025 Accepting new patients
Genesis Orthopedics & Sports Medicine LLC CurrentSince Jan 13, 2025 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Apr 19, 2022 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 3, 2025 Accepting new patients
Genesis Orthopedics & Sports Medicine LLC CurrentSince Jan 13, 2025 Accepting new patients
Central Dupage Physician Group Past Accepting new patients
Accelerated Rehabilitation Past Accepting new patients
Athletico LTD Physical Therapist Past Accepting new patients

Locations

557 Main St NW
Bourbonnais, IL 60914
Phone (815) 839-2090

Dept 5777
Carol Stream, IL 60122

204 E Washington St
Clinton, IL 61727
Phone (217) 570-0225

100 W Chestnut St
Hinsdale, IL 60521
Phone (630) 481-7350

660 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6100

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1001 Commerce Dr
Ste 600
Oak Brook, IL 60523
Phone (331) 732-4580

2425 W 22nd St
Ste 103
Oak Brook, IL 60523
Phone (630) 571-3333

2900 Foxfield Rd
Ste 102
St Charles, IL 60174
Phone (630) 209-1960

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1255450623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 COMMERCE DR STE 600",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238914",
            "telephone_number": "630-933-1500",
            "fax_number": "331-732-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 COMMERCE DR STE 600",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238914",
            "telephone_number": "630-933-1500",
            "fax_number": "331-732-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9870",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070012723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.