Virginia Gayle Fleming-Randolph, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2070603 Issued in TX

Practice address

1008 Enterprise Blvd
Rockport, TX 78382-3201

Phone

(361) 727-1800

NPI assigned

Sep 7, 2018

Sex

Female

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": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1912480781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2181",
            "city": "FULTON",
            "state": "TX",
            "postal_code": "783582181",
            "telephone_number": "318-422-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 ENTERPRISE BLVD",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823201",
            "telephone_number": "361-727-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING-RANDOLPH",
        "first_name": "VIRGINIA",
        "middle_name": "GAYLE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2070603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Cherre Engleman, FNP-C
• Ernest C. Alsop, MD, PA
• Charles Esterlein, D.O.
• Family Medicine of Rockport
• Fastpass Ucr, PLLC
• Jarod Hamilton Fowler, PHARM.D.
• Kari Marie Francis, RPH
• Nick Giannone, M.D.
• David Gilmore, M.D.
• Raffaele D Giovannone, P.A. - C

• All providers in Rockport, TX
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.