JENNIFER RANDALL – Physical Therapist, NPI 1104291160

JENNIFER RANDALL is a healthcare provider. based in Eugene, Oregon. specializing in Physical Therapist. They hold a License No. 039567 (NY). The NPI Number for JENNIFER RANDALL is 1104291160

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER RANDALL
NPI
1104291160
Phone
(541) 505-7134
Address
488 E 11TH AVE STE 150A
Enumeration Date
2 December 2015
Last Update Date
2 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416871668
Graduation Year
2013 (13 years ago)
PAC ID
3678871084
Group Practice PAC ID
4486835477
Professional Enrollment ID
I20160419001729
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

Provider Addresses for JENNIFER RANDALL

  • 488 E 11TH AVE STE 150A

    EUGENE, OR 974013601

    Phone: (541) 505-7134

    Type: Location

  • 5300 DUTCH HILL RD

    CINCINNATUS, NY 130402106

    Phone:

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97401)

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Provider's Procedures

JENNIFER RANDALL performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYOR97001Physical therapy evaluation1313
PHYSICAL THERAPYOR97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes20918

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: 4486835477View full group profile

Reviews

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Frequently asked questions

What NPI should I save for JENNIFER RANDALL?
Save NPI 1104291160 if you need a stable reference for JENNIFER RANDALL.
Is JENNIFER RANDALL currently active in the NPI registry?
CMS-published data lists JENNIFER RANDALL as an active registrant.
Does JENNIFER RANDALL list a primary specialty?
If you are matching referrals, note Physical Therapist for JENNIFER RANDALL. Clinical services aligned with this taxonomy classification.
Where is JENNIFER RANDALL's primary listing?
We display Eugene, Oregon because that is what the record indicates for JENNIFER RANDALL.
What if Eugene, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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