Active NPI
Carrie A. Randell, P.T.
- Physical Therapist
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-008500
- Practice address
- 100 NE Randolph Ave
Peoria, IL 61606-1919 - Phone
- (309) 624-8575
- Fax
- (309) 624-8566
- NPI assigned
- Jul 20, 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 | 070-008500 | IL | Primary |
Addresses
Primary practice location
100 NE Randolph Ave
Peoria, IL 61606-1919
Mailing address
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 655-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 Oconor Ave
La Salle, IL 61301-1216
Phone (224) 616-5446
1021 W E St
Belleville, IL 62220-1055
Phone (618) 573-3402
2720 S 14TH St
Pekin, IL 61554-9621
Phone (309) 603-4795
518 W Romeo B Garrett Ave
Peoria, IL 61605-2319
Phone (309) 226-6078
5301 W Everett M Dirksen Pkwy
Peoria, IL 61607-1126
Phone (309) 295-5505
7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-008500 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current | Accepting new patients |
Locations
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
536 Old Howell Rd
Greenville, SC 29615
Phone (877) 508-3237
Organizations & group practices 6
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
- North Riverside, IL
- NPI 1699094102
-
- Occupational Therapist
- Edwardsville, IL
- NPI 1679098263
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Belleville, IL
- NPI 1174118103
Physical Therapist
-
- Rehabilitation Clinic/Center
- Mount Carmel, IL
- NPI 1962073734
Physical Therapist
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
-
- Rehabilitation Clinic/Center
- Liberty, MO
- NPI 1174299044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568851200000",
"number": "1942220819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 NE GLEN OAK AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616370001",
"telephone_number": "309-655-2000",
"fax_number": "309-655-7869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NE RANDOLPH AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616061919",
"telephone_number": "309-624-8575",
"fax_number": "309-624-8566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDELL",
"first_name": "CARRIE",
"middle_name": "A.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2019-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-008500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.