Individual provider Active NPI

Randal Jay Aldridge, MS PT ATC

  • Orthopedic Physical Therapist
  • Auburn, AL
National Provider Identifier
1598749376
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTH 1820 Issued in AL
Practice address
2408 E University Dr Ste 106
Auburn, AL 36830-9404
Phone
(334) 275-4636
NPI assigned
Dec 5, 2005
Last updated
May 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5136 SC
Orthopedic Physical Therapist 2251X0800X PTH 1820 AL Primary

Addresses

Primary practice location

2408 E University Dr Ste 106
Auburn, AL 36830-9404

Mailing address

2000 Westinghouse Dr Ste 200
Cranberry TWP, PA 16066-5238
Phone (724) 343-4060

Other practice location 1

2272 Moores Mill Rd
Suite 100
Auburn, AL 36830-8444
Phone (334) 707-7848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071220000320 AL Practitioner - Physical Therapist in Private Practice 7416980024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2006 Samglenn Dr
Auburn, AL 36830-6229
Phone (334) 758-8875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PTH 1820ALMDOrthopedic Physical Therapist
5136SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Full Swing, LLC Physical Therapist CurrentSince Sep 20, 2024 Accepting new patients
Aldridge Physical Therapy, LLC Physical Therapist CurrentSince Aug 27, 2007 Accepting new patients
Full Swing Physical Therapy Physical Therapist Past Accepting new patients

Locations

2006 Samglenn Dr
Ste 500
Auburn, AL 36830
Phone (334) 758-8875

2272 Moores Mill Rd
Ste 100
Auburn, AL 36830
Phone (334) 707-7848

2408 E University Dr
Ste 106
Auburn, AL 36830
Phone (334) 275-4636

430 Innovation Dr
Blairsville, PA 15717

2000 Westinghouse Dr
Ste 200
Cranberry Twp, PA 16066
Phone (724) 584-5732

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1598749376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WESTINGHOUSE DR STE 200",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665238",
            "telephone_number": "724-343-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 E UNIVERSITY DR STE 106",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368309404",
            "telephone_number": "334-275-4636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2272 Moores Mill Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368308444",
            "country_code": "US",
            "telephone_number": "334-707-7848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALDRIDGE",
        "first_name": "RANDAL",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "MS PT ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5136",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AL",
            "license": "PTH 1820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

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