Theresa Randall

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

9455 W Watertown Plank Rd FL 4
Wauwatosa, WI 53226-3559

Phone

(414) 257-6302

NPI assigned

Mar 30, 2020

Last updated

Mar 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1306474952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9455 W WATERTOWN PLANK RD FL 4",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9455 W WATERTOWN PLANK RD FL 4",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263559",
            "telephone_number": "414-257-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "synthesis.milwaukee.gov",
            "affiliation": "N",
            "address_1": "9455 W Watertown Plank Rd Fl 4",
            "city": "Wauwatosa",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532263559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Rakow
• Aishwarya Ramamurthi
• Sarah J Ramirez, PA-C
• Jacob Andrew Raml, DPT
• Mary Michelle Ramos, P.T.A.
• Lauren Elizabeth Ranke
• Venkatarama V Rao, MD
• Mary Ann Rasku, MD
• Catherine F Raster, BCBA
• Marcy Raupp, OT

• Contractor in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Contractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.