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

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

Practice location Address checks out

5535 S Williamson Blvd Ste 774
Port Orange, FL 32128-8321
Phone: (888) 265-2680
Show map & directions

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

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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