National Provider Identifier
Casey Randall, PT
Casey Randall, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 473-1290.
Profile Overview
- NPI
- 1730919820
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- August 05, 2024
- Last Updated
- February 04, 2025
Practice Location
- 2561 Lac De Ville Blvd Ste 100
- Rochester, NY 14618-5645
Phone: (585) 473-1290
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1730919820
- Entity Type
- Individual
- Last Name
- Randall
- First Name
- Casey
- Credential
- PT
- Mailing Street Address
- 2561 Lac De Ville Blvd Ste 100
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-5645
- Mailing Country
- US
- Mailing Phone
- (585) 869-5140
- Mailing Fax
- (585) 869-5142
- Practice Street Address
- 2561 Lac De Ville Blvd Ste 100
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-5645
- Practice Country
- US
- Practice Phone
- (585) 473-1290
- Practice Fax
- (585) 869-5142
- Enumeration Date
- August 05, 2024
- Last Updated
- February 04, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 04, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)