Emily Mettlach Randall, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

08268R Issued in LA

Practice address

2132 Gause Blvd E Ste 6
Slidell, LA 70461-4243

Phone

(985) 646-2531

Fax

(985) 649-1391

NPI assigned

Oct 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Picayune Physical Therapy CenterGroup PAC ID 2860465945, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Picayune Physical Therapy Center

  • Physical Therapist
  • Picayune, MS
  • NPI 1295817153

  MS

  Medicare reassignment Care Compare group
• Starkville Physical Therapy, Inc.

  • Physical Therapist
  • Starkville, MS
  • NPI 1497948152
  NPD (past)

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1558697995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 GAUSE BLVD E STE 6",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614243",
            "telephone_number": "985-646-2531",
            "fax_number": "985-649-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 GAUSE BLVD E STE 6",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614243",
            "telephone_number": "985-646-2531",
            "fax_number": "985-649-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "EMILY",
        "middle_name": "METTLACH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4621",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "08268R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Alexander Raj, DO
• Vijil Rajan, MD
• Nicole Beauxis Ramirez, MS
• Brenna Bussart Ramos, M.D.
• Gina Rancatore Nelson
• Ronique Randall, LPC
• Rapid Urgent Care, Inc
• Courtney Nicole Rasa, FNP-C
• Hillary Rasco
• Ciara Ray

• Orthopedic Physical Therapist in Slidell, LA
• Providers in Slidell, LA by specialty
• Orthopedic Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.