Individual provider Active NPI

Kristin Lee Crandall, DPT

  • Physical Therapist
  • Stanwood, WA
National Provider Identifier
1295022440
Registry record updated Aug 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60225086 Issued in WA
Practice address
27500 102ND Ave NW
Ste 1
Stanwood, WA 98292-8092
Phone
(360) 629-9768
Fax
(360) 629-6487
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60225086 WA Primary

Addresses

Primary practice location

27500 102ND Ave NW
Ste 1
Stanwood, WA 98292-8092

Mailing address

27500 102ND Ave NW
Ste 1
Stanwood, WA 98292-8092
Phone (360) 629-7528

Other practice location 1

311 N Spruce St
Burlington, WA 98233-1129
Phone (360) 770-2881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110801000909 WA Practitioner - Physical Therapist in Private Practice 6901075340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NSPT IncGroup PAC ID 5698850295, 26 clinicians

Practice addresses (Care Compare)

27500 102ND Ave NW
Suite 1
Stanwood, WA 98292-8092
Phone (360) 629-9768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60225086WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin City Physical Therapy PLLC CurrentSince Jul 28, 2025 Accepting new patients
Evergreen Physical Therapy PS Physical Therapist PastSince Feb 2, 2019 Accepting new patients
Blanchard Mountain Physical Therapy PLLC Physical Therapist PastSince May 7, 2024 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754179200000",
    "number": "1295022440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27500 102ND AVE NW",
            "address_2": "STE 1",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928092",
            "telephone_number": "360-629-7528",
            "fax_number": "360-629-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27500 102ND AVE NW",
            "address_2": "STE 1",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928092",
            "telephone_number": "360-629-9768",
            "fax_number": "360-629-6487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 N Spruce St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "WA",
            "postal_code": "982331129",
            "country_code": "US",
            "telephone_number": "360-770-2881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "KRISTIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60225086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2025; 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.