Provider Demographics
NPI:1841177540
Name:LEVY, RANDI (PT)
Entity type:Individual
Prefix:
First Name:RANDI
Middle Name:
Last Name:LEVY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:RANDI
Other - Middle Name:
Other - Last Name:SOLOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1 CEDAR HL
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-4701
Mailing Address - Country:US
Mailing Address - Phone:508-259-9711
Mailing Address - Fax:
Practice Address - Street 1:5 HIGH RIDGE PARK FL 3
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-1326
Practice Address - Country:US
Practice Address - Phone:203-869-1145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0130342251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic