Individual provider Active NPI

Sara Schoenle Randolph, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1619066842
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9172 Issued in CO
Practice address
425 S Cherry St
Ste. 640
Denver, CO 80246-1226
Phone
(303) 333-3493
Fax
(303) 333-1184
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 9172 CO Primary

Addresses

Primary practice location

425 S Cherry St
Ste. 640
Denver, CO 80246-1226

Mailing address

2632 Cherry St
Denver, CO 80207-3039
Phone (720) 205-9759

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220818002514 IN Practitioner - Physical Therapist in Private Practice 7911904628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Colorado School of Medicine, Denver, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Vein Specialists LLCGroup PAC ID 7012180433, 6 clinicians

Practice addresses (Care Compare)

11876 Olio Rd
Suite 700
Fishers, IN 46037-9778
Phone (317) 348-3020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9172COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Vein Specialists, LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

11590 N Meridian St
Ste 270
Carmel, IN 46032
Phone (317) 348-3020

10485 Commerce Dr
#100
Carmel, IN 46032
Phone (317) 348-3020

11876 Olio Rd
Ste 700
Fishers, IN 46037
Phone (317) 348-3020

Organizations & group practices 1

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619066842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 CHERRY ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802073039",
            "telephone_number": "720-205-9759",
            "fax_number": "303-333-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S CHERRY ST",
            "address_2": "STE. 640",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461226",
            "telephone_number": "303-333-3493",
            "fax_number": "303-333-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "SARA",
        "middle_name": "SCHOENLE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.