JONATHAN RANDALL (NPI# 1134674880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134674880 |
| Entity Type | Individual |
| Full Name | JONATHAN RANDALL |
| Practice Address |
36397 N Gantzel Rd #102 San Tan Valley AZ 85140-7335 |
| Mailing Address |
3779 E Ironhorse Rd Gilbert AZ 85297-9417 |
| Practice Telephone | 4805672987 |
| Practice Fax Number | 4803470240 |
| Mailing Telephone | 4803859360 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
12483 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
36397 N GANTZEL RD #102 |
| City | SAN TAN VALLEY |
| State | AZ |
| Zip Code | 85140-7335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548336837 | Jill Susan Perez | Speech-Language Pathologist | 36397 N Gantzel Rd, 102, San Tan Valley, AZ 85140-7335 | 2006-11-28 |
| 1306476007 | Caitlin Whitaker | Physical Therapist | 36397 N Gantzel Rd, San Tan Valley, AZ 85140-7335 | 2020-01-22 |
| 1255817177 | Ashley Marie Deramos | Physical Therapist | 36397 N Gantzel Rd, San Tan Valley, AZ 85140-7335 | 2018-07-13 |
| 1285133116 | Seth Black | Physical Therapist | 36397 N Gantzel Rd, San Tan Valley, AZ 85140-7335 | 2018-02-06 |
| 1811431158 | David Stuart Cohee | Physical Therapist | 36397 N Gantzel Rd, Suite 102, San Tan Valley, AZ 85140-7335 | 2016-12-06 |
| 1245788637 | Jill Stewart | Physical Therapy Assistant | 36397 N Gantzel Rd, San Tan Valley, AZ 85140-7335 | 2016-09-14 |
| 1962955708 | Inbalance Home Health, LLC | Home Health | 36397 N Gantzel Rd, San Tan Valley, AZ 85140-7335 | 2016-07-28 |
| 1508253691 | Inbalance Pt LLC | Durable Medical Equipment & Medical Supplies | 36397 N Gantzel Rd, Suite 102, San Tan Valley, AZ 85140 | 2015-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801429634 | Bhsm Rehabilitation, LLC | Clinic/Center | 37200 North Gantzel Road, Suite 260, Queen Creek, AZ 85140 | 2020-02-20 |
| 1801455712 | Jose Enrique Knox | Specialist/Technologist, Other | 36018 North Secret Garden Path, Queen Creek, AZ 85140 | 2019-06-13 |
| 1629546171 | San Tan Valley Oral Facial and Implant Surgery Pllc | Oral & Maxillofacial Surgery | 36327 N Gantzel Rd, Suite 102, San Tan Valley, AZ 85140 | 2018-11-02 |
| 1780164582 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 40950 N Ironwood Dr, Queen Creek, AZ 85140 | 2018-08-21 |
| 1497249452 | San Tan Primary Care PC | Family Medicine | 36283 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 | 2018-06-21 |
| 1306386115 | Veronica Gonzalez | Licensed Practical Nurse | 733 E Angeline Ave, Queen Creek, AZ 85140 | 2017-02-27 |
| 1194198697 | Amanda Ellis | Residential Treatment Facility, Physical Disabilities | 381 East Brook Street, San Tan Valley, AZ 85140 | 2015-11-05 |
| 1043688336 | Felicia D Adams | Day Training/Habilitation Specialist | 1074 E. Press Rd, San Tan Valley, AZ 85140 | 2015-09-03 |
| 1376928598 | Amy Burks | Physical Therapy Assistant | 1479 E Oak Rd, San Tan Valley, AZ 85140 | 2015-07-29 |
| 1316367121 | Shanaya Suchak | Internal Medicine | 37000 N Gantzel Road, Attn: Hospitalists, San Tan Valley, AZ 85140 | 2014-04-19 |
| Find all providers in zip 85140 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144206525 | Gabriel Peterambrose Brooks | Physical Therapist | 40601 N Gantzel Rd Ste 103, San Tan Valley, AZ 85140-7036 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164505 | Imove Health LLC | Physical Therapist | 1054 S Fargo St, Chandler, AZ 85286-1078 | 2020-11-05 |
| 1457984841 | Caleb Lynch | Physical Therapist | 1055 N La Canada Dr Ste 123, Green Valley, AZ 85614-3700 | 2020-02-13 |
| 1790315992 | Kaylea Davis | Physical Therapist | 1675 E Melrose St, Gilbert, AZ 85297-1001 | 2020-01-16 |
| 1124667860 | Stephanie Laura Mundt | Physical Therapist | 10665 E Le Marche Dr, Scottsdale, AZ 85255-1925 | 2019-12-28 |
| 1932755808 | Nathanial David Phillips | Physical Therapist | 41125 N Daisy Mountain Dr Ste 121, Anthem, AZ 85086-4964 | 2019-08-15 |
| 1659937563 | Daniel Cooper | Physical Therapist | 20242 N 29th Pl, Phoenix, AZ 85050-4711 | 2019-05-15 |
| 1649836552 | Zachary Allen Cash | Physical Therapist | 20940 N Tatum Blvd Ste B290, Phoenix, AZ 85050-4265 | 2019-05-15 |
| 1578035630 | Premier Fitness Systems LLC | Physical Therapist | 7267 E Adobe Dr Ste 101, Scottsdale, AZ 85255-4032 | 2018-12-28 |
| 1053806729 | Melanie Topete | Physical Therapist | 2525 S Rural Rd Ste 5s, Tempe, AZ 85282-2444 | 2018-06-26 |
| 1104318344 | Freddy Ruiz Jr. | Physical Therapist | 2330 N 75th Ave Ste 113, Phoenix, AZ 85035-1200 | 2018-06-04 |
| Find all providers with the same taxonomy | ||||
| City | SAN TAN VALLEY |
| Zip Code | 85140 |
Please comment or provide details below to improve the information on JONATHAN RANDALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.