Individual provider Active NPI

Julia Randle, OT

  • Physical Rehabilitation Occupational Therapist
  • Mesquite, NV
National Provider Identifier
1578635264
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
OT-2721 Issued in NV
Practice address
1140 W Pioneer Blvd
Mesquite, NV 89027
Phone
(702) 346-1899
Fax
(702) 346-8581
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6107697-4201 UT
Physical Rehabilitation Occupational Therapist 225XP0019X OT-2721 NV Primary

Addresses

Primary practice location

1140 W Pioneer Blvd
Mesquite, NV 89027

Mailing address

PO Box 757
Mesquite, NV 89024
Phone (702) 346-1899

Other practice location 1

350 South 400 East
Avalon North Canyon
Bountiful, UT 84010
Phone (801) 397-4721

Other identifiers 1

IdentifierTypeStateIssuer
D6767MedicaidUT

Other names 1

  • Julia Meritt Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210614002628 NV Practitioner - Occupational Therapist in Private Practice 6507266442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mesa View Physical Rehabilitation LLCGroup PAC ID 5496710568, 9 clinicians

Practice addresses (Care Compare)

330 Falcon Ridge Pkwy
Suite 400B
Mesquite, NV 89027-8881
Phone (702) 346-1899

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
85
Improvement activities
40
Cost
85.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6107697-4201UTMDOccupational Therapist
OT-2721NVMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Rehabilitation LLC Occupational Therapist CurrentSince Jun 7, 2021 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Jun 7, 2021 Accepting new patients
Mesa View Physical Rehabilitation, LLC CurrentSince Oct 15, 2024 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
MMC of Nevada LLC Past Accepting new patients
Mesquite Medical Equipment Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

7455 W Washington Ave
Ste 100
Las Vegas, NV 89128
Phone (702) 655-9456

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

7301 Peak Dr
Ste 101
Las Vegas, NV 89128
Phone (702) 940-3000

330 Falcon Ridge Pkwy
Ste 400B
Mesquite, NV 89027
Phone (702) 345-4625

1140 W Pioneer Blvd
Mesquite, NV 89027
Phone (702) 346-1899

Organizations & group practices 9

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1578635264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 757",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "89024",
            "telephone_number": "702-346-1899",
            "fax_number": "702-346-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W PIONEER BLVD",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "89027",
            "telephone_number": "702-346-1899",
            "fax_number": "702-346-8581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 South 400 East",
            "address_2": "Avalon North Canyon",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "84010",
            "country_code": "US",
            "telephone_number": "801-397-4721",
            "fax_number": "801-397-4790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDLE",
        "first_name": "JULIA",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "6107697-4201",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NV",
            "license": "OT-2721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D6767",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "MERITT",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesquite, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.