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

Jason Robert Bach-Randolph

Individual provider Physical Therapist · NPI 1780239392

Jason Robert Bach-Randolph is a Physical Therapist in Private Practice in Punta Gorda, Florida. Qualified in 2019, 7 years ago. Practices with Fitness Quest - Venice LLC, a 45-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

530 E Olympia Ave Ste 112
Punta Gorda, FL 33950-3838
Phone: (941) 575-7300
Fax: (941) 505-7301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 280 Park Ave, Boca Grande, FL 33921 — (941) 964-2300
  • 2828 S McCall Rd Ste 25, Englewood, FL 34224-9517 — (941) 474-2700
  • 2530 Bobcat Village Center Rd Unit C, North Port, FL 34288-8475 — (941) 426-7400
  • 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952-9204 — (941) 743-6700

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT34952 (FL)

Record details

NPI number1780239392
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 9, 2019
Last updated in NPPESNovember 27, 2023
Mailing address530 E Olympia Ave Ste 112, Punta Gorda, FL 33950-3838

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Fitness Quest - Venice Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Punta Gorda