Theresa Brown Crandall, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10521 Issued in FL

Practice address

13910 Fivay Rd
Ste. 10
Hudson, FL 34667-7154

Phone

(727) 862-3509

Fax

(727) 862-3500

NPI assigned

Oct 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Theresa Brown Crandall Professional name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Spine and Rehab Center LLCGroup PAC ID 2264690817, 2 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.

• Coastal Spine and Rehab Center LLC

  • Chiropractor
  • Hudson, FL
  • NPI 1952673766
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1356677223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13910 FIVAY RD",
            "address_2": "STE. 10",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677154",
            "telephone_number": "727-862-3509",
            "fax_number": "727-862-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13910 FIVAY RD",
            "address_2": "STE. 10",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677154",
            "telephone_number": "727-862-3509",
            "fax_number": "727-862-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "THERESA",
        "middle_name": "BROWN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10521",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO08571",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "CRANDALL",
            "middle_name": "BROWN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dillon Thomas Coplin, DO
• Roberto Francisco Cordero, DO
• Matthew Corey, PHARMD
• Patricia Coyle, LCSW
• Kenneth Coyne, A.R.N.P.
• Roxanne Cropp, CRNA
• Emily Elizabeth Crusinberry, DDS
• Orlando Cruz Garcia
• Yvonne Veronica Cruz
• Gaspar M. Cuadrao

• Chiropractor in Hudson, FL
• Providers in Hudson, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.