Individual provider Active NPI

Josh T Randall, PT

  • Physical Therapist
  • Pawtucket, RI
National Provider Identifier
1760496426
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT01693 Issued in RI
Practice address
600 Pawtucket Ave
Pawtucket, RI 02860
Phone
(401) 728-2200
Fax
(401) 728-2031
NPI assigned
Jul 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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 PT01693 RI Primary

Addresses

Primary practice location

600 Pawtucket Ave
Pawtucket, RI 02860

Mailing address

1217 Hope St
Bristol, RI 02809
Phone (401) 396-9023

Other identifiers 2

IdentifierTypeStateIssuer
6400457OtherUNITED HEALTH
409089OtherBLUE CHIP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120112000405 RI Practitioner - Physical Therapist in Private Practice 5890962997 Reassigns benefits to 1 organization
I20180418001125 MA Practitioner - Physical Therapist in Private Practice 5890962997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connections Physical Therapy, Inc.Group PAC ID 3577456623, 88 clinicians

Practice addresses (Care Compare)

3001 E Main Rd
Portsmouth, RI 02871-4248
Phone (401) 680-6951

6 Main St
Medway, MA 02053-1715
Phone (508) 321-1680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15534MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Physical Therapy Inc Physical Therapist CurrentSince Apr 26, 2018 Accepting new patients
Connections Physical Therapy Inc Physical Therapist PastSince Apr 6, 2021 Accepting new patients
Connections Physical Therapy NH, LLC Physical Therapist Past Accepting new patients

Locations

529 Main St
Acton, MA 01720
Phone (978) 239-1500

406R Washington St
Holliston, MA 01746
Phone (508) 429-4940

125 High St
Ste 8
Mansfield, MA 02048
Phone (508) 261-1080

6 Main St
Medway, MA 02053
Phone (508) 321-1680

110 Cedar St
Wellesley Hills, MA 02481
Phone (781) 237-1769

110 Cedar St
Ste 100
Wellesley Hills, MA 02481
Phone (617) 921-4336

576 Metacom Ave
Ste 6
Bristol, RI 02809
Phone (401) 373-3391

3001 E Main Rd
Portsmouth, RI 02871
Phone (401) 680-6951

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760496426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 HOPE ST",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "02809",
            "telephone_number": "401-396-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PAWTUCKET AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-728-2200",
            "fax_number": "401-728-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "JOSH",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT01693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "6400457",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "409089",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

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.