Individual provider Active NPI

Griffith James Randle, DPT

  • Physical Therapist
  • Belcamp, MD
National Provider Identifier
1477826410
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23953 Issued in MD
Practice address
1321 Riverside Pkwy
Ste a-2
Belcamp, MD 21017-1388
Phone
(443) 760-3971
Fax
(410) 272-4606
NPI assigned
Feb 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23953 MD Primary

Addresses

Primary practice location

1321 Riverside Pkwy
Ste a-2
Belcamp, MD 21017-1388

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130307000105 MD Practitioner - Physical Therapist in Private Practice 8123273687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

1321 Riverside Pkwy
Suite A2
Belcamp, MD 21017-3405
Phone (443) 760-3971

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23953MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Dec 12, 2016 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Dec 12, 2016 Accepting new patients
Carroll Sports Rehabilitation and Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

3465 Box Hill Corporate Center Dr
Ste G
Abingdon, MD 21009
Phone (410) 569-4806

3491 Merchants Blvd
Ste 108
Abingdon, MD 21009
Phone (443) 625-5370

2021A Emmorton Rd
Ste 110
Bel Air, MD 21015
Phone (410) 515-0006

1321 Riverside Pkwy
Ste A2
Belcamp, MD 21017
Phone (443) 327-7449

11301 York Rd
Cockeysville, MD 21030
Phone (443) 541-1912

137 W High St
Ste 3
Elkton, MD 21921
Phone (410) 392-7027

2315 Bel Air Rd
Ste C3
Fallston, MD 21047
Phone (443) 417-2499

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

251 Lewis Ln
Ste 104
Havre de Grace, MD 21078
Phone (410) 939-8530

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

7 W Ridgely Rd
Ste A
Timonium, MD 21093
Phone (443) 274-5368

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1477826410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 RIVERSIDE PKWY",
            "address_2": "STE A-2",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171388",
            "telephone_number": "443-760-3971",
            "fax_number": "410-272-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDLE",
        "first_name": "GRIFFITH",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-22",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belcamp, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.