Randy Parent

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A12 Issued in MN

Practice address

604 1St St NE
Forest Lake, MN 55025-1202

Phone

(651) 466-1025

NPI assigned

Jul 7, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1861875015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 1ST ST NE",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 1ST ST NE",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251202",
            "telephone_number": "651-466-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARENT",
        "first_name": "RANDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Otterness, LADC
• Leann Rose Ottomeyer, DNP, APRN, FNP-C
• Richard Vincent Ottomeyer, D.C.
• Lyn Marie Palacheck, CNS
• Ethan Kai Palmer
• Jessica Paschke
• G Rankin Patet, DDS
• Darlene Patterson
• Paul Mladnick Consulting LLC
• Carl F. Peikert, MD

• Physical Therapy Assistant in Forest Lake, MN
• Providers in Forest Lake, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.