Ryan C Crandall, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012435 Issued in OH

Practice address

851 S Clinton St
Defiance, OH 43512-2770

Phone

(419) 782-8808

Fax

(419) 782-8148

NPI assigned

Jun 10, 2009

Sex

Male

Sole proprietor

No

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

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Defiance Physical Therapy and Sports Medicine, LLCGroup PAC ID 2466696380, 8 clinicians

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.

• Defiance Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Defiance, OH
  • NPI 1023458270
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1245466713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122290",
            "telephone_number": "419-785-4415",
            "fax_number": "419-785-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S CLINTON ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122770",
            "telephone_number": "419-782-8808",
            "fax_number": "419-782-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "RYAN",
        "middle_name": "C",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "012435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Copsey, CDCA
• Annetta J Corcoran, RD,LD
• Brittany Cordray
• Jasmine Cox, CDCA, PRS
• Angela Cramer, LPN
• Elizabeth Haley Crawford, CDCA, PRS
• Stephanie Crenshaw
• Joy A Crew, CCDCI
• Bobbi L Crisenbery, LSW, CCDI
• Alesha Nicole Critten, LSW

• Physical Therapist in Defiance, OH
• Providers in Defiance, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.