Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christa Dawn Randolph, MPT

Individual provider Specialist · NPI 1174508121

Christa Dawn Randolph, MPT is a Physical Therapist in Private Practice in Bridgeport, West Virginia. Qualified in 2005, 21 years ago. Practices with Bridgeport Physical Therapy Services, Inc, a 7-clinician group. Licensed in West Virginia.

Years since qualifying
21
Licensed in
WV
In the registry since
2005
Specialties on file
2
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

306 W Main St
Bridgeport, WV 26330-1751
Phone: (304) 842-3137
Fax: (304) 842-3138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 002526 (WV)
Specialist Taxonomy 174400000X · Licence 002526 (WV)

Record details

NPI number1174508121
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorNo
NPI enumeratedDecember 13, 2005
Last updated in NPPESJuly 12, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Bridgeport Physical Therapy Services, Inc. — 7 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Bridgeport