Individual provider Active NPI

Jeffrey Randall, P.T.

  • Physical Therapist
  • Highlands Ranch, CO
National Provider Identifier
1598716045
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL0007763 Issued in CO
Practice address
9088 Ridgeline Blvd Ste 106
Highlands Ranch, CO 80129-2380
Phone
(720) 458-0522
Fax
(720) 536-5365
NPI assigned
May 12, 2006
Last updated
Mar 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL0007763 CO Primary

Addresses

Primary practice location

9088 Ridgeline Blvd Ste 106
Highlands Ranch, CO 80129-2380

Mailing address

PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110222001028 CO Practitioner - Physical Therapist in Private Practice 2961683032 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reform Health and Rehab, LLCGroup PAC ID 6002240744, 14 clinicians
Colorado Health and Rehab LLCGroup PAC ID 4688999055, 21 clinicians

Practice addresses (Care Compare)

1275 W Pueblo Blvd
Pueblo, CO 81004-3866
Phone (719) 542-0589

3000 Ctr Green Dr
Suite 110
Boulder, CO 80301-2364
Phone (303) 413-9903

5980 Stetson Hills Blvd
100 Strive Physical Therapy Stetson
Colorado Springs, CO 80923-3633
Phone (719) 574-3111

8 W Dry Creek Cir
Suite 130
Littleton, CO 80120-4477
Phone (303) 955-8163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL0007763COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Colorado Health & Rehab CurrentSince Apr 25, 2024 Accepting new patients
Southern Colorado Health & Rehab Physical Therapist CurrentSince Apr 25, 2024 Accepting new patients
Rocky Mountain Health & Rehab, LLC Physical Therapist CurrentSince Apr 25, 2024 Accepting new patients
Resolute Health & Rehab, LLC Physical Therapist CurrentSince Apr 25, 2024 Accepting new patients
Epic Health & Rehab LLC Physical Therapist CurrentSince Apr 25, 2024 Accepting new patients
Rocky Mountain Health & Rehab, LLC Physical Therapist CurrentSince Apr 25, 2024 Accepting new patients
Epic Health & Rehab LLC Physical Therapist CurrentSince Apr 25, 2024 Accepting new patients
All Abilities Health & Rehab PLLC Physical Therapist CurrentSince Apr 25, 2024 Accepting new patients
Colorado Health & Rehab LLC Physical Therapist Past Accepting new patients
Team Health & Rehab, LLC Physical Therapist Past Accepting new patients
Colorado Health & Rehab LLC Physical Therapist Past Accepting new patients
Reform Health & Rehab, LLC Physical Therapist Past Accepting new patients

Locations

6870 W 52nd Ave
Ste 108
Arvada, CO 80002
Phone (720) 583-6480

3326 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 912-2110

3425 Austin Bluffs Pkwy
Ste 105
Colorado Springs, CO 80918
Phone (719) 265-6601

3854 Village Seven Rd
Colorado Springs, CO 80917
Phone (719) 574-3111

3854 Village Seven Rd
#V7
Colorado Springs, CO 80917
Phone (719) 574-8761

296 W Hampden Ave
Englewood, CO 80110
Phone (303) 955-8163

9250 E Costilla Ave
Ste 201
Greenwood Village, CO 80112
Phone (720) 572-4873

9088 Ridgeline Blvd
Ste 106
Highlands Ranch, CO 80129
Phone (720) 344-0139

3900 S Wadsworth Blvd
Ste 150
Lakewood, CO 80235
Phone (720) 510-9092

8 W Dry Creek Cir
Ste 130
Littleton, CO 80120
Phone (303) 955-8163

1275 W Pueblo Blvd
Pueblo, CO 81004
Phone (719) 542-0589

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1598716045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "406-756-0134",
            "fax_number": "406-300-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9088 RIDGELINE BLVD STE 106",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292380",
            "telephone_number": "720-458-0522",
            "fax_number": "720-536-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "JEFFREY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0007763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.