Individual provider Active NPI

Magdalena Crandall, OT

  • Occupational Therapist
  • Mount Juliet, TN
National Provider Identifier
1316459951
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
151 Adams LN Ste 11
Mt Juliet, TN 37122-8320
Phone
(615) 773-1561
Fax
(615) 773-1564
NPI assigned
Nov 3, 2017
Last updated
May 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

151 Adams LN Ste 11
Mt Juliet, TN 37122-8320

Mailing address

142 Benjamin LN
Hendersonville, TN 37075-2983
Phone (615) 596-8292

Other practice location 1

491 Sage Rd N Ste 1000
White House, TN 37188-9363
Phone (615) 672-8230

Other identifiers 1

IdentifierTypeStateIssuer
0446631MedicaidTN

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

Practice roles

OrganizationSpecialtyStatusNew patients
Star Physical Therapy LP Past Accepting new patients
Tennessee Orthopaedic Alliance PA Occupational Therapist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: magdalena.crandall.p1@direct.toa.nextgenshare.com
  • Direct secure messaging: magdalena.crandall.p3@direct.toa.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1316459951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 BENJAMIN LN",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752983",
            "telephone_number": "615-596-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 ADAMS LN STE 11",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371228320",
            "telephone_number": "615-773-1561",
            "fax_number": "615-773-1564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "491 Sage Rd N Ste 1000",
            "address_purpose": "LOCATION",
            "city": "White House",
            "state": "TN",
            "postal_code": "371889363",
            "country_code": "US",
            "telephone_number": "615-672-8230",
            "fax_number": "615-672-8977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "MAGDALENA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.