180 Therapy Services, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

180 THERAPY SERVICES, PLLC

Doing business as

Leading Edge Physical Therapy

Practice address

422 E Interstate 30 Ste B
Royse City, TX 75189-3131

Phone

(972) 532-0448

Fax

(833) 358-0263

NPI assigned

Oct 8, 2018

Organization subpart

No

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

Authorized official

Name

Chase Aaron Randolph, PTNPI 1902067820

Title

Owner/Physical Therapist

Phone

(972) 532-0448

Specialties & licenses 1

Addresses

Other names 1

• Leading Edge Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chase Aaron Randolph, PT

  • Physical Therapist
  • Royse City, TX
  • NPI 1902067820
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1578038428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 E INTERSTATE 30 STE C",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751893131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 E INTERSTATE 30 STE B",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751893131",
            "telephone_number": "972-532-0448",
            "fax_number": "833-358-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "180 THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "CHASE",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "972-532-0448",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leading Edge Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Leading Edge Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Obafemi O Adenuga, DDS
• Esther Oluwadamilola Adeola, RN
• Danny Magdaleno Aguayo Rodriguez
• Elsie Ahenkorah-Marfo
• Sandra Ajao

• Physical Therapist in Royse City, TX
• Providers in Royse City, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.