Individual provider Active NPI

Randee Goldstein Engelhard, M.P.T

  • Physical Therapist
  • Weston, FL
National Provider Identifier
1265512149
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17618 Issued in FL
Practice address
16606 Saddle Club Rd
Weston, FL 33326-1808
Phone
(954) 660-0551
Fax
(954) 660-0527
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

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 17618 FL Primary

Addresses

Primary practice location

16606 Saddle Club Rd
Weston, FL 33326-1808

Mailing address

730 Crystal CT
Weston, FL 33326-2914
Phone (954) 389-5666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070122000521 FL Practitioner - Physical Therapist in Private Practice 5597766394 Practice locations: Weston, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17618FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Realign by Randee, Inc. Current Accepting new patients
Trinity 5 Inc Physical Therapist PastSince Jul 5, 2020 Accepting new patients
Lifespan Therapy Inc Physical Therapist Past Accepting new patients
Weston Physical Medicine PA PastSince Jan 7, 2017 Accepting new patients
Physical Therapy in Your Home Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265512149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 CRYSTAL CT",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262914",
            "telephone_number": "954-389-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16606 SADDLE CLUB RD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261808",
            "telephone_number": "954-660-0551",
            "fax_number": "954-660-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELHARD",
        "first_name": "RANDEE",
        "middle_name": "GOLDSTEIN",
        "name_prefix": "Mrs.",
        "credential": "M.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "17618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.