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

Randy Whittle

Individual provider Physical Therapist · NPI 1164454047

Randy Whittle is a Physical Therapist in Private Practice in Show Low, Arizona. Qualified in 1996, 30 years ago. Practices with White Mountain Physical Therapy Ltd, a 15-clinician group and accepts Medicare assignment.

Years since qualifying
30
In the registry since
2006

Practice location Address checks out

2500 E Hunt St
Show Low, AZ 85901-7954
Phone: (928) 537-6532
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1164454047
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 597, Taylor, AZ 85939-0597

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice White Mountain Physical Therapy Ltd — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Show Low