Individual provider Active NPI

Randi Alise Dellova, P.T.

  • Physical Therapist
  • White Plains, NY
National Provider Identifier
1811061492
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024107-1 Issued in NY
Practice address
2 N Broadway
White Plains, NY 10601-2309
Phone
(914) 993-3350
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 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 024107-1 NY Primary

Addresses

Primary practice location

2 N Broadway
White Plains, NY 10601-2309

Mailing address

2 N Broadway
White Plains, NY 10601-2309
Phone (914) 993-3350

Other names 1

  • Ms. Randi Alise Perlman Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241223003433 NJ Practitioner - Physical Therapist in Private Practice 8022104777 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024107-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraworks Physical Therapy and Rehabilitation LLC Physical Therapist CurrentSince Aug 21, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1811061492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N BROADWAY",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106012309",
            "telephone_number": "914-993-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N BROADWAY",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106012309",
            "telephone_number": "914-993-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLOVA",
        "first_name": "RANDI",
        "middle_name": "ALISE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024107-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDI",
            "last_name": "PERLMAN",
            "middle_name": "ALISE",
            "prefix": "MS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.