Active NPI
Dawn Danielle Crandall
- Occupational Therapist
- Rochester, WI
National Provider Identifier
1669496733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4088026
- Practice address
- 102 North State Street
Rochester, WI 53167 - Phone
- (262) 331-4397
- NPI assigned
- Jul 26, 2006
- Last updated
- Sep 29, 2026
- 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 | 4088026 | WI | Primary |
Addresses
Primary practice location
102 North State Street
Rochester, WI 53167
Mailing address
3346 Meachem Rd
Racine, WI 53405-4666
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4088026 | WI | MD | Occupational Therapist |
| 4088 | WI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In- Home Rehab Southeastern | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1669496733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3346 MEACHEM RD",
"city": "RACINE",
"state": "WI",
"postal_code": "534054666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 NORTH STATE STREET",
"city": "ROCHESTER",
"state": "WI",
"postal_code": "53167",
"telephone_number": "262-331-4397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANDALL",
"first_name": "DAWN",
"middle_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4088026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.