Randy Lee Carson, REHAB THERAPIST

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

02242001 Issued in TX

Practice address

11911 Jones Rd Ste 7
Houston, TX 77070-5232

Phone

(832) 368-4010

NPI assigned

May 11, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• Relax & Rehab

  • Rehabilitation Practitioner
  • Pasadena, TX
  • NPI 1770856338
  NPD (past)

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1306292008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7321",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775087321",
            "telephone_number": "832-368-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 JONES RD STE 7",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705232",
            "telephone_number": "832-368-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "RANDY",
        "middle_name": "LEE",
        "credential": "REHAB THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "TX",
            "license": "02242001",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT032379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M Carson, CRNA
• Jashunta Latia Carson, APRN, PMHNP-BC, CRNP
• Kelly K Carson
• Natalie Carson, CRNA
• Nicole Jeanette Carson, D.C.
• Rhonda Teehee Carson
• Samuel Craig Carson, LPC LMFT
• Laura Jean Carstens, FNP-BC
• Elizabeth Carswel
• Sheena M Carswell, C.N.S.

• Rehabilitation Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Rehabilitation Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.