Tracy Lynn Crandall, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010028 Issued in MI

Practice address

9 E 8TH St
Holland, MI 49423-3501

Phone

(616) 796-3800

NPI assigned

Nov 30, 2023

Last updated

Nov 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atrio Home Health Lakeshore

  • Home Health Agency
  • Holland, MI
  • NPI 1821098476
  NPD
• Resthaven

  • Skilled Nursing Facility
  • Holland, MI
  • NPI 1942239223
  NPD (past)

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1225804289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5437 133RD AVE",
            "city": "HAMILTON",
            "state": "MI",
            "postal_code": "494199622",
            "telephone_number": "616-848-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E 8TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233501",
            "telephone_number": "616-796-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Andrew Courey, M.S.W., L.M.S.W.
• Kaitlyn Craddock, PHARMD
• Craig N Bade MD (Holland Skin and Vein Center)
• Nathan Cramblet
• Bethany Anne Switter Cramer, MA, LLPC
• Laura Jean Crandle, MA, CCC-SLP
• John A Creviere, MA LPC
• Sarah Lynn Criffield, LPN
• Gabriela M Croese, SPANISH INTERPRETER
• Olivia Crooks

• Physical Therapist in Holland, MI
• Providers in Holland, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.