Active NPI
Josh T Randall, PT
- Physical Therapist
- Pawtucket, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT01693
- 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, 2007
- Sex
- Male
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6400457 | Other | UNITED HEALTH | |
| 409089 | Other | BLUE CHIP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15534 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connections Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Connections Physical Therapy Inc | Physical Therapist | Past | 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.
-
- Physical Therapist
- Wellesley, MA
- NPI 1548459746
-
- Physical Therapist
- Merrimack, NH
- NPI 1740725993
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.