CHAD RANDOLPH (PT) – Physical Therapist, NPI 1033196100

CHAD RANDOLPH (PT) is a healthcare provider. based in St charles, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 070-007949 (IL). The NPI Number for CHAD RANDOLPH (PT) is 1033196100

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
CHAD RANDOLPH (PT)
NPI
1033196100
Phone
(630) 587-5788
Address
3865 E MAIN ST
Enumeration Date
29 December 2005
Last Update Date
22 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8474681400
Graduation Year
1993 (33 years ago)
PAC ID
8729006911
Group Practice PAC ID
6507830387
Professional Enrollment ID
I20051107000168
Address ID
IL601342578GE2525XRDXX300

Contacts

Secure Messaging
crandolph84283@dulyhealthandcare.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for CHAD RANDOLPH (PT)

  • East Main Street, St. Charles, Kane County, Illinois, 60184, United States

    ST CHARLES, IL 601742424

    Phone: (630) 587-5788

    Type: Location

  • Engineering Building, 205, West Upper Wacker Drive, Loop, Chicago, South Chicago Township, Cook County, Illinois, 60606, United States

    SUITE 1020

    CHICAGO, IL 606061216

    Phone: (312) 640-0329

    Type: Mailing

  • PO BOX 713260

    CHICAGO, IL 606771260

    Phone: (630) 469-9200

    Type: Mailing

  • 651 S ROUTE 59

    AURORA, IL 605048169

    Phone: (630) 547-8000

    Fax: (630) 547-8001

    Type: Location

  • 1860 PAYSPHERE CIR

    CHICAGO, IL 606741216

    Phone: (630) 469-9200

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051107000168IPhysical Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities14533$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes13832$0
97140Therapy procedure using manual technique, each 15 minutes10327$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes7128$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care2413$0
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Insurance plans in this area (ZIP 60174)

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Provider's Procedures

CHAD RANDOLPH (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIL97001Physical therapy evaluation3534

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507830387View full group profile
NameSpecialtyState
-OH
Physician AssistantIL
Occupational Therapist In Private PracticeIL
Physician AssistantIL
Physician AssistantIL
Orthopedic Surgery, Hand SurgeryIL
Physical Therapist In Private PracticeIL
Orthopedic SurgeryIL
Orthopedic SurgeryIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Is CHAD RANDOLPH (PT) listed with a National Provider Identifier?
Yes — CHAD RANDOLPH (PT) has NPI 1033196100 on file in the registry.
Is CHAD RANDOLPH (PT) shown as active in public data?
Registry records indicate CHAD RANDOLPH (PT) maintains an active NPI.
What kind of doctor is CHAD RANDOLPH (PT)?
CHAD RANDOLPH (PT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is CHAD RANDOLPH (PT) registered?
Use St Charles, Illinois as the headline location for CHAD RANDOLPH (PT) here.
When was this NPI issued?
Enumeration for CHAD RANDOLPH (PT) is noted as December 29, 2005 where the registry provides it.

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