Active NPI
Randi Alise Dellova, P.T.
- Physical Therapist
- White Plains, NY
National Provider Identifier
1811061492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 024107-1
- 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
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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024107-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraworks Physical Therapy and Rehabilitation LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Barnegat, NJ
- NPI 1861430357
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.