Theraform Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THERAFORM PHYSICAL THERAPY, INC.

Practice address

12658 W Washington Blvd Unit 103
Los Angeles, CA 90066-2300

Phone

(310) 292-0780

NPI assigned

Mar 19, 2026

Organization subpart

No

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

Authorized official

Name

Jocelyn Randall, DPTNPI 1497250898

Title

President & Owner

Phone

(310) 292-0780

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jocelyn Randall, DPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1497250898
  NPD Authorized official

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1902754542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 BARBADOS PL",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262301",
            "telephone_number": "310-292-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12658 W WASHINGTON BLVD UNIT 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662300",
            "telephone_number": "310-292-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAFORM PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "PRESIDENT & OWNER",
        "authorized_official_telephone_number": "310-292-0780",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Beatris Ther Hacopian, MD
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• Theraplay la
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• Therapy for Results, Marriage & Family, Inc.
• Therapy Lab, Inc., a Psychological Corporation

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.