Robert Lewis Crandall

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

045533 Issued in NY

Practice address

280 County Road 44
Norwich, NY 13815-2209

Phone

(607) 334-6273

Fax

(607) 334-8770

NPI assigned

Dec 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Comprehensive Performance Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Norwich, NY
  • NPI 1356195572
  Medicare reassignment NPD Authorized official
• Comprehensive Rehabilitation and Performance

  • Physical Therapy Clinic/Center
  • Norwich, NY
  • NPI 1861010431
  NPD Authorized official

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1144735523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 COUNTY ROAD 44",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138152209",
            "telephone_number": "607-334-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 COUNTY ROAD 44",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138152209",
            "telephone_number": "607-334-6273",
            "fax_number": "607-334-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "ROBERT",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-07",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045533",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Jo Corsette, HIS
• Sandra Mae Costin, LMT
• County of Chenango
• County of Chenango
• County of Chenango
• Benvinda Crescenzi
• Lynnette Cruger, RN
• John Norbert Cruz, MD
• Elizabeth Jane Cummings, FNP-C
• CWS Dental Clinic

• Physical Therapist in Norwich, NY
• Providers in Norwich, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.

Verify at the official NPI Registry.