Active NPI
Steve Crandall, PT
- Physical Therapist
- Grass Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 27297
- Practice address
- 130 W Berryhill Dr
Grass Valley, CA 95945-5835 - Phone
- (530) 205-9538
- Fax
- (530) 460-1841
- NPI assigned
- Jun 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 27297 | CA | Primary |
Addresses
Primary practice location
130 W Berryhill Dr
Grass Valley, CA 95945-5835
Mailing address
130 W Berryhill Dr
Grass Valley, CA 95945-5835
Phone (530) 205-9538
Other practice location 1
11392 Pleasant Valley Rd
Penn Valley, CA 95946-9001
Phone (530) 432-9660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
130 W Berryhill Dr
Grass Valley, CA 95945-5835
Phone (530) 205-9538
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27297 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
| PT 27297 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wildwood Physical Therapy Inc | Current | Accepting new patients | |
| New Edge Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Evolution Physical Therapy & Wellness | Physical Therapist | Current | Accepting new patients |
| Evolution Physical Therapy & Wellness LLC | Physical Therapist | Past | Accepting new patients |
Locations
130 W Berryhill Dr
Grass Valley, CA 95945
Phone (530) 205-9538
11392 Pleasant Valley Rd
Penn Valley, CA 95946
Phone (530) 432-9660
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Grass Valley, CA
- NPI 1568053742
-
- Physical Therapist
- Penn Valley, CA
- NPI 1477196111
-
- Physical Therapy Clinic/Center
- Penn Valley, CA
- NPI 1952300782
-
- Physical Therapist
- Grass Valley, CA
- NPI 1578022869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1013356831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 W BERRYHILL DR",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455835",
"telephone_number": "530-205-9538",
"fax_number": "530-460-1841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W BERRYHILL DR",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455835",
"telephone_number": "530-205-9538",
"fax_number": "530-460-1841"
}
],
"practiceLocations": [
{
"address_1": "11392 Pleasant Valley Rd",
"address_purpose": "LOCATION",
"city": "Penn Valley",
"state": "CA",
"postal_code": "959469001",
"country_code": "US",
"telephone_number": "530-432-9660",
"fax_number": "530-432-9663",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRANDALL",
"first_name": "STEVE",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-14",
"last_updated": "2021-01-19",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 27297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.