Individual provider Active NPI

Randolph J Mann, PT

  • Physical Therapist
  • Sun City, AZ
National Provider Identifier
1356478770
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
598 Issued in AZ
Practice address
9885 W Union Hills
Suite 100
Sun City, AZ 85373-1705
Phone
(623) 875-4440
Fax
(623) 773-9472
NPI assigned
Feb 27, 2007
Sex
Male
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 598 AZ Primary

Addresses

Primary practice location

9885 W Union Hills
Suite 100
Sun City, AZ 85373-1705

Mailing address

PO Box 5189
Glendale, AZ 85312-5189
Phone (623) 875-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
598AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Accelerated Physical Therapy and Rehabilitation,PC PastSince Feb 19, 1999 Accepting new patients
Southwest Therapy Specialists, P.C. PastSince Jul 19, 2008 Accepting new patients

Organizations & group practices 2

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356478770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5189",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853125189",
            "telephone_number": "623-875-4440",
            "fax_number": "623-773-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9885 W UNION HILLS",
            "address_2": "SUITE 100",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853731705",
            "telephone_number": "623-875-4440",
            "fax_number": "623-773-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "RANDOLPH",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.