Randolph Specialty Group Practice

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RANDOLPH SPECIALTY GROUP PRACTICE

Doing business as

Randolph Health Deep River Physical Therapy

Practice address

148 Pointe South Dr
Randleman, NC 27317-9520

Phone

(336) 799-4435

Fax

(336) 799-4057

NPI assigned

Jun 3, 2009

Last updated

Feb 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Scott Clauser

Title

Executive Director

Phone

(336) 625-2333

Specialties & licenses 1

Addresses

Other names 1

• Randolph Health Deep River Physical Therapy Doing business as

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1396971438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5418",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272045418",
            "telephone_number": "336-625-2333",
            "fax_number": "336-625-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 POINTE SOUTH DR",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273179520",
            "telephone_number": "336-799-4435",
            "fax_number": "336-799-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH SPECIALTY GROUP PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "CLAUSER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-625-2333"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randolph Health Deep River Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Jay Poole, LCSW
• Malvis Ramirez
• Randleman Drug LLC (Randleman Drug)
• Randleman Medical Center
• Randleman Medical Center LLC
• Reach to Speech LLC
• Karen Lynn Reddick, MPT
• Kristie L Reed, PHARMD
• Luis Alonso Romero, PTA
• Melissa Smith Rose, NP-C

• Physical Therapist in Randleman, NC
• Providers in Randleman, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.