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

Mr. Randall Walter Grossglass, PT

Individual provider Orthopedic Physical Therapist · NPI 1033217054

Mr. Randall Walter Grossglass, PT is a Physical Therapist in Private Practice in Brandon, Florida. Qualified in 1999, 27 years ago. Licensed in Florida.

Years since qualifying
27
Licensed in
FL
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

134 E Bloomingdale Ave
Brandon, FL 33511-8101
Phone: (813) 681-1627
Fax: (813) 684-1356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT18479 (FL)

Record details

NPI number1033217054
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated

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