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DR. JACQUELINE RANDA PT
NPI 1013919349
Physical Therapist - Orthopedic in Henderson, NV

Active since May 31, 2005
874 AMERICAN PACIFIC DR, HENDERSON, NV 89014(702) 777-3122(702) 777-3055 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jacqueline Randa Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACQUELINE RANDA PT (NPI 1013919349) is an individual orthopedic provider in Henderson, Nevada, licensed in Nevada (2845) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1013919349
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameDR. JACQUELINE RANDACredential: PT
Location Address874 AMERICAN PACIFIC DRHenderson, NV 89014-8800
Mailing Address874 American Pacific DrHenderson, NV 89014-8800 · (702) 777-3122 · Fax (702) 777-3055
Phone(702) 777-3122
Fax(702) 777-3055
Sole ProprietorNo
Enumeration DateMay 31, 2005
Last NPPES UpdateJuly 23, 2013
✔ NPI 1013919349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Licenses✔ Licensed in NV · 2845✔ Licensed in CA · PT28176
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
874 AMERICAN PACIFIC DR, Henderson, NV 89014
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Other Identifiers 3

Medicare PINOPT281760CA
OtherP00066377CA · Railroad Medicare
Other54220ZZZ07464ZCA · Blue Shield Pin

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUYEN CAO MEDICAL STUDENT
Student in an Organized Health Care Education/Training Program
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-8687
DR. JOHN EARL PADGETT PA-C, PHD
Physician Assistant (Medical)
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-1766
SHEETAL SHENOY
Student in an Organized Health Care Education/Training Program
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-8687
ILIANA ESTHER FUENTEZ OSUNA
Behavior Technician
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-9969
DORIS LOFTON RBT
Behavior Technician
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-4808
JENNIFER MCCONNELL RBT
Behavior Analyst
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-4808
SARAH PERALTA
Behavior Technician
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-4808
KENNETH DOUGLAS GRANT M.D.
Internal Medicine (Rheumatology)
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-4809

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Randa's NPI number?

The NPI number for Jacqueline Randa is 1013919349. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Jacqueline Randa located?

Jacqueline Randa practices at 874 American Pacific Dr, Henderson, NV 89014. The listed phone number is (702) 777-3122.

What is Jacqueline Randa's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Jacqueline Randa was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.