Active NPI
Krystal Louise Rando, DPT
- Physical Therapist
- Dayton, OH
National Provider Identifier
1629698097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014781
- Practice address
- 1050 Forrer Blvd
Dayton, OH 45420-1472 - Phone
- (937) 298-1111
- NPI assigned
- Apr 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 014781 | OH | Primary |
Addresses
Primary practice location
1050 Forrer Blvd
Dayton, OH 45420-1472
Mailing address
270 Diamond Dr
Centerville, OH 45458-4946
Phone (937) 830-9852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014781 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587772800000",
"number": "1629698097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 DIAMOND DR",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454584946",
"telephone_number": "937-830-9852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 FORRER BLVD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454201472",
"telephone_number": "937-298-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDO",
"first_name": "KRYSTAL",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-25",
"last_updated": "2020-04-25",
"certification_date": "2020-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "014781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.