NPI
Jason Robert Bach-Randolph
NPI 1780239392
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2019-08-09
- Last updated
- 2023-11-27
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Specialties
Licenses
- License FL
- PT34952
Location
- Practice location
- 530 E Olympia Ave Ste 112
- City
- Punta Gorda FL
- Postal code
- 33950-3838
- Phone
- (941) 575-7300
- Fax
- (941) 505-7301
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Physical Therapists in Punta Gorda, FL. 40 with this primary taxonomy in the public file.
Other NPIs in Punta Gorda, FL. 913 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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