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

Mary Kathleen Randall

Individual provider Physical Therapist · NPI 1457028920

Mary Kathleen Randall is a Physical Medicine and Rehabilitation in Greensboro, North Carolina. Qualified in 2021, 5 years ago. Practices with Integrative Therapies Inc, a 2-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2021
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Practice location Address checks out

4112 Spring Garden St
Greensboro, NC 27407-1684
Phone: (336) 294-0910
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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 P23461 (NC)

Record details

NPI number1457028920
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 24, 2021
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Integrative Therapies Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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