Active NPI
Tarri Ann Randall, PT, OCS, CWS
- Physical Therapist
- Whiteriver, AZ
National Provider Identifier
1659387660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21850
- Practice address
- 200 W. Hospital Drive
Whiteriver, AZ 85941 - Phone
- (928) 338-3610
- NPI assigned
- Jul 31, 2006
- 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 | PT21850 | CA | Primary |
Addresses
Primary practice location
200 W. Hospital Drive
Whiteriver, AZ 85941
Mailing address
PO Box 860
Whiteriver, AZ 85941-0860
Phone (928) 338-3610
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT21850 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS IHS Phoenix Area | Past | Accepting new patients |
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.
-
- Clinic/Center
- Cibecue, AZ
- NPI 1427335181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659387660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860",
"city": "WHITERIVER",
"state": "AZ",
"postal_code": "859410860",
"telephone_number": "928-338-3610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W. HOSPITAL DRIVE",
"city": "WHITERIVER",
"state": "AZ",
"postal_code": "85941",
"telephone_number": "928-338-3610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "TARRI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PT, OCS, CWS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT21850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whiteriver, AZ
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.