Active NPIIndividual providerSole proprietor

Mrs. Theresa M Randall, OTR/L

Occupational Therapist, Pediatrics in North Salem, New York

NPI Number1316221799
Practice location
15 Bonnieview St, North Salem, NY 10560-1307
Fax
—
Last updated
December 21, 2011

Theresa Majella Randall is an Occupational Therapist, Pediatrics based in North Salem, NY. Theresa Majella Randall practices in North Salem, NY and has the professional credentials of OTR/L. The NPI Number for Theresa Majella Randall is 1316221799 and holds a License No. 016402 (NY). The current practice location address for Theresa Majella Randall is 15 Bonnieview St, North Salem, NY 10560-1307 and can be reached out via phone at 845-363-6630.

Provider Profile Details

NPI Number
1316221799
Provider Name
Theresa Majella Randall
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
15 Bonnieview St, North Salem, NY 10560-1307
Phone Number
845-363-6630
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
Yes
Provider Enumeration Date
October 4, 2011
Last Update Date
December 21, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Bonnieview St
North Salem, NY 10560-1307
Zip
10560-1307
Phone Number
845-363-6630
North Salem, NY 10560Get directions →

Provider Business Mailing Address Details

Address
15 Bonnieview St
North Salem, NY 10560-1307
City
North Salem
State
NY
Zip
10560-1307
Phone Number
845-363-6630

License Information

License Number
016402
License State
NY
Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Theresa M Randall, OTR/L?

The NPI number of Mrs. Theresa M Randall, OTR/L is 1316221799. It was assigned on October 4, 2011 and is currently active in the NPPES registry.

What is the specialty of Mrs. Theresa M Randall, OTR/L?

Mrs. Theresa M Randall, OTR/L is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in NY under license number 016402.

Where does Mrs. Theresa M Randall, OTR/L practice?

The practice location is 15 Bonnieview St, North Salem, NY 10560-1307. The office can be reached at 845-363-6630 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316221799 directly on the NPPES registry website.

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