Jocelyn Randall, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

294657 Issued in CA

Practice address

12658 W Washington Blvd Unit 103
Los Angeles, CA 90066-2300

Phone

(310) 292-0780

NPI assigned

Mar 27, 2018

Sex

Female

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

State licenses

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.

• Theraform Physical Therapy, Inc.

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1902754542
  NPD Authorized official

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1497250898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 BARBADOS PL",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262301",
            "telephone_number": "310-292-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12658 W WASHINGTON BLVD UNIT 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662300",
            "telephone_number": "310-292-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "JOCELYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Ellen Rand, MD
• Randal Paul Arase MD a Professional Corporation
• Randall G. Shue D.O. Inc.
• Randall G. Shue D.O. Inc.
• James Randall
• Melissa Randall, M.S., L.C.G.C.
• Sonia Grewal Randall, AUD
• Taylor Jaclyn Randall
• Alaina Randazzo, RDN
• Sarah Marie Randazzo, LMFT

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.