MARY KATHLEEN RANDALL
NPI 1457028920
Physical Therapist in Greensboro, NC

Active since August 24, 2021PECOS EnrolledAccepts Medicare Assignment
4112 SPRING GARDEN ST, GREENSBORO, NC 27407(336) 294-0910 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 26, 2025, Oct 7, 2025, Aug 24, 2021 (3 updates tracked since 2021).

About Mary Kathleen Randall NPPES

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

MARY KATHLEEN RANDALL (NPI 1457028920) is an individual physical therapist in Greensboro, North Carolina, licensed in North Carolina (P23461) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1457028920
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMARY KATHLEEN RANDALL
Location Address4112 SPRING GARDEN STGreensboro, NC 27407-1684
Mailing Address4112 Spring Garden StGreensboro, NC 27407-1684 · (336) 294-0910
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 24, 2021
Last NPPES UpdateNovember 26, 20253 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
NPI 1457028920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NC · P23461
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
4112 SPRING GARDEN ST, Greensboro, NC 27407

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Kathleen Randall is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012442908
PECOS Enrollment IDI20241202002551
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Physical Therapist
4112 SPRING GARDEN ST
GREENSBORO, NC 27407
Counselor (Mental Health)
4112 SPRING GARDEN ST, SUITE B
GREENSBORO, NC 27407

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 Mary Randall's NPI number?

The NPI number for Mary Randall is 1457028920. It was assigned to this individual provider in the NPPES registry on August 24, 2021.

Where is Mary Randall located?

Mary Randall practices at 4112 Spring Garden St, Greensboro, NC 27407. The listed phone number is (336) 294-0910.

What is Mary Randall's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Mary Randall enrolled in Medicare?

Yes. Mary Randall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Randall accept?

Health plans from Blue Cross and Blue Shield of NC list Mary Randall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Randall was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.