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

Randall Sheffield

Individual provider Physical Therapist · NPI 1770138760

Randall Sheffield is a Physical Therapist in Private Practice in Port Orange, Florida. Qualified in 2018, 8 years ago. Practices with Moksha Therapy, a 2-clinician group. Licensed in Florida and New Mexico.

Years since qualifying
8
Licensed in
FL, NM
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

5535 S Williamson Blvd Ste 774
Port Orange, FL 32128-8321
Phone: (888) 265-2680
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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 PT5413 (NM)
Physical Therapist Taxonomy 225100000X · Licence PT34203 (FL)

Record details

NPI number1770138760
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 6, 2019
Last updated in NPPESNovember 27, 2019
Mailing address15 Apex Dr, Highland, IL 62249-1282

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Moksha Therapy — 2 clinicians
Accepts Medicare assignment Not indicated

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