Active NPI
Joel Crandall, PT, DPT
- Physical Therapist
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0011759
- Practice address
- 350 S Dahlia St Ste 103
Denver, CO 80246-8102 - Phone
- (303) 578-6404
- NPI assigned
- Jul 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0011759 | CO | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | PTL.0011759 | CO |
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
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Florida College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
350 S Dahlia St
Suite 103
Denver, CO 80246-8102
Phone (303) 578-6404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0011759 | CO | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Ferrington Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Streamline Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790
350 S Dahlia St
Ste 103
Denver, CO 80246
Phone (303) 578-6404
2695 Northpark Dr
Ste 102
Lafayette, CO 80026
Phone (303) 926-1796
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- Denver, CO
- NPI 1306546049
Physical Therapist
-
- Physical Therapist
- Lafayette, CO
- NPI 1124375779
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
Physical Medicine & Rehabilitation
-
- Cardiovascular Disease Physician
- Lakewood, CO
- NPI 1013683465
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1649525692",
"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"
},
{
"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": {
"last_name": "CRANDALL",
"first_name": "JOEL",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-16",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0011759",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "PTL.0011759",
"primary": false
}
],
"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.
- 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.