Active NPIIndividual providerSole proprietor

Jessica L Randazzo, PT

Physical Therapist in Valley Cottage, New York

NPI Number1932352366
Practice location
798 Brookridge Dr, Apartment 16, Valley Cottage, NY 10989-1851
Fax
—
Last updated
October 29, 2008

Jessica Lynne Randazzo is a Physical Therapist based in Valley Cottage, NY. Jessica Lynne Randazzo practices in Valley Cottage, NY and has the professional credentials of PT. The NPI Number for Jessica Lynne Randazzo is 1932352366 and holds a License No. 028569 (NY). The current practice location address for Jessica Lynne Randazzo is 798 Brookridge Dr, Apartment 16, Valley Cottage, NY 10989-1851 and can be reached out via phone at 845-267-8574.

Provider Profile Details

NPI Number
1932352366
Provider Name
Jessica Lynne Randazzo
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
798 Brookridge Dr, Apartment 16, Valley Cottage, NY 10989-1851
Phone Number
845-267-8574
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
October 29, 2008
Last Update Date
October 29, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
798 Brookridge Dr
Apartment 16
Valley Cottage, NY 10989-1851
Zip
10989-1851
Phone Number
845-267-8574
Valley Cottage, NY 10989Get directions →

Provider Business Mailing Address Details

Address
798 Brookridge Dr
Apartment 16
Valley Cottage, NY 10989-1851
City
Valley Cottage
State
NY
Zip
10989-1851
Phone Number
845-267-8574

License Information

License Number
028569
License State
NY
Taxonomy
Physical Therapist · 225100000X · 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 Jessica L Randazzo, PT?

The NPI number of Jessica L Randazzo, PT is 1932352366. It was assigned on October 29, 2008 and is currently active in the NPPES registry.

What is the specialty of Jessica L Randazzo, PT?

Jessica L Randazzo, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 028569.

Where does Jessica L Randazzo, PT practice?

The practice location is 798 Brookridge Dr, Apartment 16, Valley Cottage, NY 10989-1851. The office can be reached at 845-267-8574 (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 1932352366 directly on the NPPES registry website.

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