Organization Active NPI

Streamline Physical Therapy

  • Physical Therapy Clinic/Center
  • Denver, CO
National Provider Identifier
1306546049
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
STREAMLINE PHYSICAL THERAPY
Practice address
350 S Dahlia St Ste 103
Denver, CO 80246-8102
Phone
(303) 578-6404
NPI assigned
Mar 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Dr. Joel Crandall, PT, DPTNPI 1649525692
Title
Owner/Physical Therapist
Phone
(303) 578-6404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

350 S Dahlia St Ste 103
Denver, CO 80246-8102

Mailing address

350 S Dahlia St Ste 103
Denver, CO 80246-8102
Phone (303) 578-6404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230511000240 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608232996 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

350 S Dahlia St
Ste 103
Denver, CO 80246
Phone (303) 578-6404

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1306546049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S DAHLIA ST STE 103",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802468102",
            "telephone_number": "303-578-6404",
            "fax_number": "720-783-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S DAHLIA ST STE 103",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802468102",
            "telephone_number": "303-578-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREAMLINE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "303-578-6404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.