Individual provider Active NPI

Randall Paul Cohen, ATC, PT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1588608764
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5975 Issued in AZ
Practice address
N110 McKale Center
University of Arizona
Tucson, AZ 85721-0001
Phone
(520) 621-4674
NPI assigned
Jun 16, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5975 AZ Primary
Sports Physical Therapist 2251S0007X 05003944A IN
Athletic Trainer 2255A2300X 0274 AZ

Addresses

Primary practice location

N110 McKale Center
University of Arizona
Tucson, AZ 85721-0001

Mailing address

N110 McKale Center
University of Arizona
Tucson, AZ 85721-0096
Phone (520) 621-4674

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914000346 AZ Practitioner - Physical Therapist in Private Practice 1254737406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physio Shop Tucson LLCGroup PAC ID 7315477460, 12 clinicians

Practice addresses (Care Compare)

6011 N Oracle Rd
Suite 151
Tucson, AZ 85704-5309
Phone (520) 561-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5975AZMDGeneral Practice Dentistry
05003944AINMDSports Physical Therapist
0274AZMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
The Physio Shop LLC Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
Physio Shop Tucson LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Physio Shop Flagstaff LLC Physical Therapist CurrentSince Oct 6, 2024 Accepting new patients

Locations

1510 S Riordan Ranch St
Flagstaff, AZ 86001
Phone (928) 214-7303

6011 N Oracle Rd
#151
Tucson, AZ 85704
Phone (520) 561-0101

6011 N Oracle Rd
Ste 151
Tucson, AZ 85704
Phone (520) 561-0101

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1588608764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N110 MCKALE CENTER",
            "address_2": "UNIVERSITY OF ARIZONA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857210096",
            "telephone_number": "520-621-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N110 MCKALE CENTER",
            "address_2": "UNIVERSITY OF ARIZONA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857210001",
            "telephone_number": "520-621-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "RANDALL",
        "middle_name": "PAUL",
        "credential": "ATC, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-13",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5975",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "IN",
            "license": "05003944A",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "0274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.