Chandler Grace Randall

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OT024292 Issued in PA

Practice address

549 Fair St # 61-22
Bloomsburg, PA 17815-1419

Phone

(570) 416-1925

Fax

(570) 387-2258

NPI assigned

Apr 7, 2025

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757116800000",
    "number": "1497549497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 FAIR ST # 61-22",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151419",
            "telephone_number": "570-416-1925",
            "fax_number": "570-387-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 FAIR ST # 61-22",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151419",
            "telephone_number": "570-416-1925",
            "fax_number": "570-387-2258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 Rehab Ln",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178218702",
            "country_code": "US",
            "telephone_number": "570-271-6110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "480 Central Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomsburg",
            "state": "PA",
            "postal_code": "178153121",
            "country_code": "US",
            "telephone_number": "570-387-6150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "CHANDLER",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OT024292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie Beth Prutsman
• Kirstie Nicole Pysher, PSYD
• Nikki Marie Rabuck
• Eugene D Radice, MD
• Raj P Chopra MD PC
• Kylie Jo Raught
• Rhea Victoria B Razon-Wu, M.D.
• Ashlee Reading
• Kayla Reed
• Scott B Rehrig, RPH

• Physical Medicine & Rehabilitation Physician in Bloomsburg, PA
• Providers in Bloomsburg, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.