Individual provider Active NPI

Donna Lee Randall, P.T.

  • Physical Therapist
  • Paso Robles, CA
National Provider Identifier
1649364084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25482 Issued in CA
Practice address
1414 Park Street
Paso Robles, CA 93446
Phone
(805) 237-0272
Fax
(805) 237-2416
NPI assigned
Oct 2, 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 PT25482 CA Primary

Addresses

Primary practice location

1414 Park Street
Paso Robles, CA 93446

Mailing address

795 Salinas Avenue
Templeton, CA 93465
Phone (805) 459-2117

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040720000603 CA Practitioner - Physical Therapist in Private Practice 0547249708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paso Robles Physical Therapy IncGroup PAC ID 7315376357, 7 clinicians

Practice addresses (Care Compare)

5255 El Camino Real
Suite C
Atascadero, CA 93422-3351
Phone (805) 237-0272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25482CAMDDentist
PT25482CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cambria Community Rehabilitation, Inc. Physical Therapist CurrentSince May 8, 2018 Accepting new patients
Paso Robles Physical Therapy Inc Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Aspire Physical Therapy Past Accepting new patients

Locations

5255 El Camino Real
Ste C
Atascadero, CA 93422
Phone (805) 237-0272

1266 Tamsen St
Ste 101
Cambria, CA 93428
Phone (805) 924-1605

3520 Combine St
Paso Robles, CA 93446
Phone (805) 237-0272

1414 Park St
Paso Robles, CA 93446
Phone (805) 226-0975

2150 Heritage Loop Rd
Ste D
Paso Robles, CA 93446
Phone (805) 237-0272

3421 Empresa Dr
Ste D
Sn Luis Obisp, CA 93401
Phone (805) 783-2390

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649364084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 SALINAS AVENUE",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "93465",
            "telephone_number": "805-459-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 PARK STREET",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "93446",
            "telephone_number": "805-237-0272",
            "fax_number": "805-237-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "DONNA",
        "middle_name": "LEE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

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.