Deblia Craddock, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13767 Issued in CA

Practice address

9320 Telstar Ave Ste 226
El Monte, CA 91731-2816

Phone

(626) 569-6329

NPI assigned

Apr 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Debi Craddock Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1376230615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 TELSTAR AVE STE 226",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312816",
            "telephone_number": "626-569-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 TELSTAR AVE STE 226",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312816",
            "telephone_number": "626-569-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADDOCK",
        "first_name": "DEBLIA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT13767",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBI",
            "last_name": "CRADDOCK",
            "credential": "PT, DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• County of Los Angeles Auditor Controller
• County of Los Angeles Auditor Controller
• County of Los Angeles Auditor Controller
• County of Los Angeles Auditor Controller
• Kathy Covarrubias
• Shalonda Katrice Crawford, PSYD
• Crispina a. Chen, M.D., Inc.
• Ana Lydia Cristobal, M.S.
• Jennifer A Crotteau
• Eric Daniel Crowder II

• Physical Therapist in El Monte, CA
• Providers in El Monte, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.