Provider Demographics
NPI:1326631201
Name:BITNER, RANNDI CARTER (PT, DPT)
Entity Type:Individual
Prefix:
First Name:RANNDI
Middle Name:CARTER
Last Name:BITNER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8470 FALLS OF NEUSE RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3500
Mailing Address - Country:US
Mailing Address - Phone:919-803-0738
Mailing Address - Fax:919-882-1727
Practice Address - Street 1:2245 GARNER RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-4609
Practice Address - Country:US
Practice Address - Phone:919-897-1059
Practice Address - Fax:919-897-1060
Is Sole Proprietor?:No
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP20215225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist