Active NPI
Deanna Randall, LMT
- Massage Therapist
- Greensburg, PA
National Provider Identifier
1417594797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 011074
- Practice address
- 600 Rugh St Rear
Greensburg, PA 15601-5630 - Phone
- (724) 837-7880
- NPI assigned
- Dec 5, 2019
- Last updated
- Dec 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 011074 | PA | Primary |
Addresses
Primary practice location
600 Rugh St Rear
Greensburg, PA 15601-5630
Mailing address
1463 Sr 981
Derry, PA 15627
Phone (724) 858-5812
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011074 | PA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1417594797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1463 SR 981",
"city": "DERRY",
"state": "PA",
"postal_code": "15627",
"telephone_number": "724-858-5812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 RUGH ST REAR",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156015630",
"telephone_number": "724-837-7880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "DEANNA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-05",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "011074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.