Individual provider Active NPI

Randal N Denton, PT, OCS, DPT

  • Physical Therapist
  • Frisco, TX
National Provider Identifier
1659483899
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1114601 Issued in TX
Practice address
5454 Surrey Path Ste 103
Frisco, TX 75034-9581
Phone
(214) 618-2424
Fax
(214) 618-2432
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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 1114601 TX Primary

Addresses

Primary practice location

5454 Surrey Path Ste 103
Frisco, TX 75034-9581

Mailing address

5454 Surrey Path Ste 103
Frisco, TX 75034-9581
Phone (214) 618-2424

Other practice location 1

8204 Stonebrook Pkwy
Frisco, TX 75034-5536
Phone (972) 335-1407

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160203001905 TX Practitioner - Physical Therapist in Private Practice 1658281118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5454 Surrey Path
Suite 103
Frisco, TX 75034-9581
Phone (214) 618-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1114601TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Randal Denton Orthopedic and Sports Physical Therapy, LLC Physical Therapist CurrentSince Dec 1, 2018 Accepting new patients
Methodist McKinney Hospital LLC Past Accepting new patients

Locations

5454 Surrey Path
Ste 103
Frisco, TX 75034
Phone (214) 618-2424

Organizations & group practices 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1659483899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 SURREY PATH STE 103",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349581",
            "telephone_number": "214-618-2424",
            "fax_number": "214-618-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 SURREY PATH STE 103",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349581",
            "telephone_number": "214-618-2424",
            "fax_number": "214-618-2432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8204 Stonebrook Pkwy",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750345536",
            "country_code": "US",
            "telephone_number": "972-335-1407",
            "fax_number": "972-335-1408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENTON",
        "first_name": "RANDAL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PT, OCS, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1114601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.