Individual provider Active NPI

Randy Edward Yocum, DPT, CSCS

  • Physical Therapist
  • Fuquay Varina, NC
National Provider Identifier
1295733251
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22440 Issued in NC
Practice address
7608 Purfoy Rd
Fuquay Varina, NC 27526-8930
Phone
(919) 220-5255
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 PT008224L PA
Physical Therapist 225100000X P22440 NC Primary

Addresses

Primary practice location

7608 Purfoy Rd
Fuquay Varina, NC 27526-8930

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (919) 220-5255

Other practice location 1

3103 Paper Mill Rd
Wyomissing, PA 19610
Phone (610) 376-2100

Other identifiers 1

IdentifierTypeStateIssuer
P22440OtherNCPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031004429 NC Practitioner - Physical Therapist in Private Practice 8921130345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Temple University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

7608 Purfoy Rd
Fuquay Varina, NC 27526-8930
Phone (919) 220-5255

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
85.94
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P22440NCMDPhysical Therapist
PT008224LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Orthopaedic Specialists LLC CurrentSince Jan 1, 2010 Accepting new patients
Keystone Orthopaedic Specialists LLC Physical Therapist CurrentSince Jan 1, 2010 Accepting new patients
Emergeortho PA Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
WRC Sports and Fitness Limited Partnership Physical Therapist CurrentSince Jan 3, 2017 Accepting new patients
Emergeortho PA CurrentSince Sep 30, 2024 Accepting new patients

Locations

910 W Williams St
Apex, NC 27502
Phone (919) 363-1957

105 Professional Park Dr
Beaufort, NC 28516
Phone (252) 838-1204

2196 Veterans Pkwy
Clayton, NC 27520
Phone (919) 763-1050

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

7608 Purfoy Rd
Fuquay Varina, NC 27526

100 Kellie Dr
Smithfield, NC 27577
Phone (919) 934-1094

11 Fairlane Rd
Reading, PA 19606
Phone (610) 378-8810

4920 Penn Ave
Sinking Spring, PA 19608
Phone (610) 898-0674

3103 Papermill Rd
Wyomissing, PA 19610
Phone (610) 376-2100

2758 Century Blvd
Ste 2
Wyomissing, PA 19610
Phone (610) 376-5646

Interoperability endpoints

  • Direct secure messaging: randy.yocum.1@847.direct.athenahealth.com

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1295733251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "919-220-5255",
            "fax_number": "919-220-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7608 PURFOY RD",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275268930",
            "telephone_number": "919-220-5255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3103 Paper Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "19610",
            "country_code": "US",
            "telephone_number": "610-376-2100",
            "fax_number": "610-750-5806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOCUM",
        "first_name": "RANDY",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008224L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "P22440",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.