Rachel Gabrielle Crandall, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

9649385-2401 Issued in UT

Practice address

280 N Main St FL 2
Bountiful, UT 84010-6136

Phone

(801) 397-8736

Fax

(801) 397-8709

NPI assigned

Aug 6, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Ms. Rachel Gabrielle Mendelsohn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ihc Health Services, Inc.

  • Children's Hospital
  • Salt Lake City, UT
  • NPI 1235148594
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1144606716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 W DAVIS BLVD",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108047",
            "telephone_number": "928-399-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N MAIN ST FL 2",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106136",
            "telephone_number": "801-397-8736",
            "fax_number": "801-397-8709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 E 9400 S",
            "address_2": "Suite 112",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840943666",
            "country_code": "US",
            "telephone_number": "801-571-3081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "RACHEL",
        "middle_name": "GABRIELLE",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15765",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "P15765",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "UT",
            "license": "9649385-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "MENDELSOHN",
            "middle_name": "GABRIELLE",
            "prefix": "MS.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michaela Cowdin, RBT
• Brookelyn Cowles
• Gracie Cox
• Kensington Bria Cox
• Jennifer Crafton
• Kelsey Crapo, FNP-C
• Abigail S Crawford
• Megan R Crawford, DPT
• Creek Capital Orchard Drive LLC
• Suzanna Cressall, CSW

• Pediatric Physical Therapist in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Pediatric Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.