Individual provider Active NPI

Joel Crandall, PT, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1649525692
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0011759 Issued in CO
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

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20160714001467 CO Practitioner - Physical Therapist in Private Practice 0547552390 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
PTL.0011759COMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Mar 31, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC Physical Medicine & Rehabilitation Current Accepting new patients
Ferrington Physical Therapy, LLC Physical Therapist CurrentSince Apr 25, 2016 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Mar 31, 2023 Accepting new patients
Streamline Physical Therapy Physical Therapist CurrentSince Apr 1, 2023 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.

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.

Verify at the official NPI Registry.