Randall Vincek, PT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

013650 Issued in NY

Practice address

12 Brigham Rd
Fredonia, NY 14063-1000

Phone

(716) 679-7447

Fax

(716) 679-7446

NPI assigned

May 9, 2006

Sex

Male

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 4

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fredonia Physical Therapy, PLLCGroup PAC ID 1951484484, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fredonia Physical Therapy, PLLC

  • Physical Therapist
  • Fredonia, NY
  • NPI 1235230343
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1427007178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BRIGHAM RD",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631000",
            "telephone_number": "716-679-7447",
            "fax_number": "716-679-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BRIGHAM RD",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631000",
            "telephone_number": "716-679-7447",
            "fax_number": "716-679-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCEK",
        "first_name": "RANDALL",
        "name_prefix": "Mr.",
        "credential": "PT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000623193006",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00025972901",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED PHYSICAL NETWORK",
            "identifier": "821432",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9310590",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Marie Vanvalkenburg, PHARM-D
• Sandra Vedovato, PH.D.
• Village of Fredonia
• Andrew Mark Vincek, PT, DPT
• Christine Vincek, PT, DPT, OCS
• Mary Sue Vogel, SPECIAL EDUCATION TE
• Gregory John Voltmann, LMSW
• Kayla E Voss, FNP
• Suzzane Patricia Voss, CCC-SLP-L
• Michael P Waddington, RN

• Physical Therapist in Fredonia, NY
• Providers in Fredonia, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.