MR. RANDEL JOHNSON (NPI# 1841680584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841680584 |
| Entity Type | Individual |
| Full Name | MR. RANDEL JOHNSON |
| Practice Address |
2615 Three Oaks Rd Suite 2b Cary IL 60013-6127 |
| Practice Telephone | 8152604559 |
| Practice Fax Number | 8476394192 |
| Mailing Telephone | 8152604559 |
| Mailing Fax Number | 8476394192 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227.001783 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 173C00000X | Reflexologist | 227.001783 | IL | Other Service Providers |
| Street Address |
2615 THREE OAKS RD SUITE 2B |
| City | CARY |
| State | IL |
| Zip Code | 60013-6127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881770733 | Gilbert Gulbrandson | Orthotist | 2615 Three Oaks Rd, Suite 2b, Cary, IL 60013 | 2006-10-31 |
| 1750836367 | Juliya Kulbachenko | Physical Therapist | 2615 Three Oaks Rd, 1a, Cary, IL 60013-6127 | 2016-08-24 |
| 1740634047 | Marilee A Kelly | Physical Therapy Assistant | 2615 Three Oaks Rd, Ste 1a, Cary, IL 60013-6123 | 2016-04-22 |
| 1962843318 | Lynne Peterson Murphy | Counselor | 2615 Three Oaks Rd, 2a, Cary, IL 60013-6127 | 2013-07-15 |
| 1619317922 | Cary Grove Dental LLC | Dentist | 2615 Three Oaks Rd, Suite 2d, Cary, IL 60013-6127 | 2013-07-01 |
| 1558619460 | Dianna Noonan | Physical Therapist | 2615 Three Oaks Rd, 1a, Cary, IL 60013-6127 | 2012-08-27 |
| 1649454968 | Sue Cash | Physical Therapist | 2615 Three Oaks Rd, Suite 1a, Cary, IL 60013-6123 | 2007-12-21 |
| 1922282243 | Brent M Busse | Physical Therapist | 2615 Three Oaks Rd, Suite 1a, Cary, IL 60013-6123 | 2007-12-21 |
| 1366626681 | Jennifer J Schaffer | Physical Therapist | 2615 Three Oaks Rd, Suite 1a, Cary, IL 60013-6123 | 2007-12-21 |
| 1346424660 | Todd J Wallace | Physical Therapist | 2615 Three Oaks Rd, Suite 1a, Cary, IL 60013-6123 | 2007-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134279789 | Brett Barber Dds PC | Dentist | 2615 Three Oaks Rd., Suite 2-d, Cary, IL 60013 | 2007-01-12 |
| 1235222340 | Johnson Eye Care Inc | Optometrist | 855 Feinberg Ct, Ste 110, Cary, IL 60013 | 2006-10-02 |
| 1346333804 | Mary J Jago Krueger | Counselor | 204 Spring Street #27, Cary, IL 60013 | 2006-10-02 |
| 1750300349 | Christine Anne Hughes | Specialist/Technologist | 2615 Three Oaks Road, Suite 1a, Cary, IL 60013 | 2006-07-18 |
| 1104872878 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 696 Northwest Hwy, Cary, IL 60013 | 2006-05-25 |
| 1073091815 | Evan R Corsolini | Physical Therapist | 732 Northwest Hwy, Cary, IL 60013 | 2018-08-03 |
| 1518104512 | Kristi A Van Ham | Physical Therapist | 732 Northwest Hwy, Cary, IL 60013 | 2009-01-13 |
| 1396990693 | Cornerstone Counseling | Counselor | 2615 Three Oaks Rd., Suite 2a, Cary, IL 60013 | 2008-12-01 |
| 1063567808 | Jeffrey Alan Johnson | Optometrist | 855 Feinberg Ct, Ste 110, Cary, IL 60013 | 2007-01-24 |
| 1013062868 | Rebecca A Schoepke | Optometrist | 855 Feinberg Ct, Ste 110, Cary, IL 60013 | 2007-01-24 |
| Find all providers in zip 60013 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319743 | Katherine Pittman | Massage Therapist | 103 Lakewater Dr, Cary, NC 27511-7225 | 2020-08-31 |
| 1992314900 | Kristin Kay Jerger | Massage Therapist | 138 Trafalgar Ln, Cary, NC 27513-5179 | 2020-07-26 |
| 1225689565 | Sydney Kranz | Massage Therapist | 1350 Se Maynard Rd Ste 203, Cary, NC 27511-3634 | 2019-09-27 |
| 1578125084 | Janet Carson | Massage Therapist | 1330 Se Maynard Rd Ste 203, Cary, NC 27511-3628 | 2019-07-03 |
| 1437613973 | Hands On Health LLC | Massage Therapist | 7980 Chapel Hill Rd Ste 125, Cary, NC 27513-4650 | 2019-01-29 |
| 1285105783 | Regina Louise Burchfield | Massage Therapist | 130 Iowa Ln Ste 202, Cary, NC 27511-4494 | 2018-12-09 |
| 1851876668 | Kelly Giglio | Massage Therapist | 216 E Chatham St Ste 110, Cary, NC 27511-3495 | 2018-09-27 |
| 1417407834 | Christi-anne Holder | Massage Therapist | 4004 Nc 55 Hwy, Cary, NC 27519-8372 | 2016-10-10 |
| 1184089674 | Sally Raspberry Davis | Massage Therapist | 1152 Executive Circle, Suite 200, Cary, NC 27511 | 2015-12-28 |
| 1043617392 | Shantilal Lodhia | Massage Therapist | 203 N Harrison Ave Ste 206, 206, Cary, NC 27513-4558 | 2014-12-02 |
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| 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.