MR. LANDIS RANDALL MAINS (NPI# 1003427444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003427444 |
| Entity Type | Individual |
| Full Name | MR. LANDIS RANDALL MAINS |
| Credential | PT, DPT |
| Practice Address |
9980 W Glendale Ave Ste 110 Glendale AZ 85307-3005 |
| Mailing Address |
3212 W Walter Way Phoenix AZ 85027-1075 |
| Practice Telephone | 6232426908 |
| Mailing Telephone | 5208614502 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
LPT31413 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9980 W GLENDALE AVE STE 110 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85307-3005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376704593 | Joshua Luke Macdonald | Occupational Therapist | 9980 W Glendale Ave Ste 110, Glendale, AZ 85307-3005 | 2008-06-19 |
| 1821640806 | Garret Candelaria | Occupational Therapist | 9980 W Glendale Ave Ste 110, Glendale, AZ 85307-3005 | 2019-07-10 |
| 1013431923 | Daniel Glen Cox | Physical Therapist | 9980 W Glendale Ave Ste 110, Glendale, AZ 85307-3005 | 2017-08-01 |
| 1164815874 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 9980 W Glendale Ave Ste 110, Glendale, AZ 85307-3005 | 2015-03-05 |
| 1023412418 | Hand Therapy Partners LLC | Durable Medical Equipment & Medical Supplies | 9980 W Glendale Ave Ste 110, Glendale, AZ 85307-3005 | 2014-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154635761 | Aeroptics LLC | Optometrist | 7071 N 138th Av, Bldg 1540, Glendale, AZ 85307 | 2010-08-06 |
| 1902894579 | Daniela Nicosia | Optometrist | 7071 N 138th Ave, Luke Afb, AZ 85307 | 2005-10-07 |
| 1144633157 | Sharan Kaur Knott | Pharmacist | 10945 W Vista Ln, Glendale, AZ 85307-1645 | 2014-06-06 |
| 1841813961 | Yoshica Mitchell | Behavior Technician | 12923 W Lawrence Ct, Glendale, AZ 85307-1900 | 2020-05-22 |
| 1700328556 | Tonya Brown | Social Worker | 12912 W Mclellan Rd, Glendale, AZ 85307-1917 | 2016-11-10 |
| 1447806997 | Tamarra Kalamchi | Dentist | 7071 N 138th Ave Bldg 1540, Glendale, AZ 85307-2006 | 2019-08-12 |
| 1043623648 | Dr Larsen Eye Care Inc | Optometrist | 7071 N 138th Ave # 1552, Luke Afb, AZ 85307-2006 | 2014-06-11 |
| 1619519840 | Platinum Venture Group LLC | Durable Medical Equipment & Medical Supplies | 7071 N 138th Ave Bldg 1540, Glendale, AZ 85307-2006 | 2019-10-09 |
| 1710255989 | Optical Center | Technician/Technologist | 7071 N 138th Ave, Glendale, AZ 85307-2006 | 2011-12-02 |
| 1386088128 | Clifton Jamar Premo | Respiratory Therapist, Registered | 13517 W Glendale Ave, Apt 1135, Glendale, AZ 85307-2010 | 2013-04-23 |
| Find all providers in zip 85307 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073901955 | Roy-carlo Maclang | Physical Therapist | 1939 Academy Pl, Glendale, CA 91206-1602 | 2014-12-31 |
| 1790974673 | Daniel A. Pauley | Physical Therapist | 5150 N Port Washington Rd Ste 130, Glendale, WI 53217-5470 | 2007-10-17 |
| 1235737966 | Alicia Wagner | Physical Therapist | 1000 N Central Ave Ste 110, Glendale, CA 91202-3685 | 2020-10-14 |
| 1043725740 | Catalyst Athletic Performance, LLC | Physical Therapist | 999 S Clermont St, Glendale, CO 80246-2539 | 2017-12-05 |
| 1619494325 | William Norman | Physical Therapist | 4344 W Bell Rd, Glendale, AZ 85308-3589 | 2017-08-23 |
| 1013431923 | Daniel Glen Cox | Physical Therapist | 9980 W Glendale Ave Ste 110, Glendale, AZ 85307-3005 | 2017-08-01 |
| 1063871549 | Kt Medical Healthcare PC | Physical Therapist | 6517 Myrtle Ave, Glendale, NY 11385-6248 | 2016-02-12 |
| 1104245075 | Joseph Ku | Physical Therapist | 500 W Glenoaks Blvd, Glendale, CA 91202-2813 | 2014-04-08 |
| 1568895324 | Lindsey Renee Wagner | Physical Therapist | 20325 N 51st Ave Bldg 6, Ste 148, Glendale, AZ 85308-5674 | 2013-08-15 |
| 1417244807 | Kimberly Kruchowsky | Physical Therapist | 6320a W Union Hills Dr, Glendale, AZ 85308-7177 | 2011-07-06 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.