Active NPI
Jennifer Crandall, OTD, OTR/L, CBIS
- Occupational Therapist
- Mesa, AZ
National Provider Identifier
1356892749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1710
- Practice address
- 1229 N Alma School Rd
Unit 10
Mesa, AZ 85201-1920 - Phone
- (480) 215-4122
- NPI assigned
- Oct 20, 2016
- Last updated
- Oct 20, 2016
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1710 | AZ | Primary |
Addresses
Primary practice location
1229 N Alma School Rd
Unit 10
Mesa, AZ 85201-1920
Mailing address
1229 N Alma School Rd
Unit 10
Mesa, AZ 85201-1920
Phone (480) 215-4122
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1710 | AZ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1356892749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 N ALMA SCHOOL RD",
"address_2": "UNIT 10",
"city": "MESA",
"state": "AZ",
"postal_code": "852011920",
"telephone_number": "480-215-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 N ALMA SCHOOL RD",
"address_2": "UNIT 10",
"city": "MESA",
"state": "AZ",
"postal_code": "852011920",
"telephone_number": "480-215-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANDALL",
"first_name": "JENNIFER",
"credential": "OTD, OTR/L, CBIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-20",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "1710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.