MR. TODD VINCENT RANDALL (DPT) – Physical Therapist, NPI 1023191715

MR. TODD VINCENT RANDALL (DPT) is a healthcare provider. based in Beavercreek, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 011055 (OH). The NPI Number for MR. TODD VINCENT RANDALL (DPT) is 1023191715

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. TODD VINCENT RANDALL (DPT)
NPI
1023191715
Phone
(937) 426-5555
Address
3224 DAYTON XENIA RD
Enumeration Date
24 October 2006
Last Update Date
26 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9377412880
Graduation Year
2004 (22 years ago)
PAC ID
3971637794
Group Practice PAC ID
0345136412
Professional Enrollment ID
I20100816001020
Address ID
OH454403264BE4400XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

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Provider Addresses for MR. TODD VINCENT RANDALL (DPT)

  • Treca Education, 3224, Dayton-Xenia Road, Zimmerman, Beavercreek, Greene County, Ohio, 45432, United States

    SUITE 120

    BEAVERCREEK, OH 454346481

    Phone: (937) 426-5555

    Fax: (937) 426-5556

    Mailing address matches the actual address.

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: 2010-08-16

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
I20100816001020IPhysical Therapist In Private PracticeOHTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes774156$0
97140Therapy procedure using manual technique, each 15 minutes518133$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes441145$0
97530Therapy procedure using functional activities32986$0
97150Therapy procedure in a group setting2317$0
View full utilization report →

Insurance plans in this area (ZIP 45434)

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Provider's Procedures

MR. TODD VINCENT RANDALL (DPT) 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 THERAPYOH97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes638155
PHYSICAL THERAPYOH97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes1571195

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: 0345136412View full group profile
NameSpecialtyState
Internal MedicineOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Orthopedic SurgeryOH
Physical Therapist In Private PracticeOH
Orthopedic SurgeryOH
Physician AssistantOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
N E U R O L O G YOH

Reviews

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Frequently asked questions

Is MR. TODD VINCENT RANDALL (DPT) listed with a National Provider Identifier?
Yes — MR. TODD VINCENT RANDALL (DPT) has NPI 1023191715 on file in the registry.
Would MR. TODD VINCENT RANDALL (DPT) appear as active to a payer?
You can treat MR. TODD VINCENT RANDALL (DPT) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MR. TODD VINCENT RANDALL (DPT)'s focus?
For MR. TODD VINCENT RANDALL (DPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. TODD VINCENT RANDALL (DPT)?
Travel planning: use Beavercreek, Ohio as the reference point for MR. TODD VINCENT RANDALL (DPT), then confirm.
When was this NPI issued?
Enumeration for MR. TODD VINCENT RANDALL (DPT) is noted as October 24, 2006 where the registry provides it.

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