Active NPI
Diane Cranendonk, PT, OCS
- Physical Therapist
- Midlothian, VA
National Provider Identifier
1285631283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305003160
- Practice address
- 2925 Polo Parkway
Midlothian, VA 23113 - Phone
- (804) 794-7587
- Fax
- (804) 794-4560
- NPI assigned
- Jul 5, 2005
- Sex
- Female
- 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 | 2305003160 | VA | Primary |
Addresses
Primary practice location
2925 Polo Parkway
Midlothian, VA 23113
Mailing address
PO Box 69030
Baltimore, MD 21264-9030
Phone (757) 873-2302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305003160 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523577600000",
"number": "1285631283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69030",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212649030",
"telephone_number": "757-873-2302",
"fax_number": "757-873-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 POLO PARKWAY",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "23113",
"telephone_number": "804-794-7587",
"fax_number": "804-794-4560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANENDONK",
"first_name": "DIANE",
"credential": "PT, OCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2018-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305003160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.