Active NPI
Byron Martin Randolph, DPT
- Physical Therapist
- Orlando, FL
National Provider Identifier
1437704756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT34719
- Practice address
- 7932 Sand Lake Rd Ste 203
Orlando, FL 32819 - Phone
- (407) 355-9820
- NPI assigned
- Aug 4, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT34719 | FL | Primary |
Addresses
Primary practice location
7932 Sand Lake Rd Ste 203
Orlando, FL 32819
Mailing address
4206 Eastgate Dr Apt 2204
Orlando, FL 32839-2862
Phone (813) 523-3502
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT34719 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564876800000",
"number": "1437704756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4206 EASTGATE DR APT 2204",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328392862",
"telephone_number": "813-523-3502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7932 SAND LAKE RD STE 203",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32819",
"telephone_number": "407-355-9820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDOLPH",
"first_name": "BYRON",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-04",
"last_updated": "2019-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT34719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.