Randy Glen Lawson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0000000521 Issued in TN

Practice address

2657 Apd 40
South Fork Plaza
Cleveland, TN 37323-0696

Phone

(423) 339-1492

Fax

(423) 339-1496

NPI assigned

Feb 20, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lifefitness, LLC

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1033162748
  NPD (past)

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1457591109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657 APD 40",
            "address_2": "SOUTH FORK PLAZA",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373230696",
            "telephone_number": "423-339-1492",
            "fax_number": "423-339-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2657 APD 40",
            "address_2": "SOUTH FORK PLAZA",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373230696",
            "telephone_number": "423-339-1492",
            "fax_number": "423-339-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "RANDY",
        "middle_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "0000000521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Lassila, FNP-BC
• Lavanya Tammareddi
• Richard Anthony Law, DDS, MDS
• Lawrence C. Swan, M.D.
• Amber Lawson, LCSW
• Ginger Lay, COTA/L
• Erin Renee Laymon
• Alycia Marie Leclaire, L.M.T.
• Jeannie H Ledford, PTA
• Judy Ledford

• All providers in Cleveland, TN
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.