Michele T Randall, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004863 Issued in GA

Practice address

3 John Davenport Dr NW
Rome, GA 30165-2535

Phone

(706) 291-1780

Fax

(706) 291-1782

NPI assigned

Jan 23, 2007

Last updated

Aug 24, 2018By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rehab Techniques, Inc

  • Physical Therapist
  • Rome, GA
  • NPI 1487820478
  Authorized official Same address or phone

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1356495691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620504",
            "telephone_number": "706-291-1780",
            "fax_number": "706-291-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 JOHN DAVENPORT DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652535",
            "telephone_number": "706-291-1780",
            "fax_number": "706-291-1782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Hicks Dr SE",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301616064",
            "country_code": "US",
            "telephone_number": "706-291-1780",
            "fax_number": "706-291-1782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "MICHELE",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "004863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299822311A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tejas V Raiyani, MD
• Adarshini Raja
• Amarabalan Rajendran, M.D
• Himanshu Rambhai, DO
• Dennis Ramos, DPT
• Hilarie Hincy Rankin, ACNPC-AG
• Scott Rankin, MD
• Carole Ann Raspotnik, MA
• Austin Blake Ratliff, PHARMD
• Kristin Ray, DO

• Physical Therapist in Rome, GA
• Providers in Rome, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.