Kara E Crandall, PT, DPT

Individual provider Active NPI Physical Therapist · Hornell, NY

NPI 1679720767 · NPPES record last updated Sep 30, 2019

Key facts

NPI
1679720767
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
030570 (NY)
Practice address
100 Loder St
Ste 105
Hornell, NY 14843-1957
Phone
(607) 324-9344
Fax
(607) 324-9345
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Fadden & Associates Physical Therapy PLLC Physical Therapist Past
since May 1, 2000
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 030570 NY Yes

Addresses

Primary practice location

100 Loder St
Ste 105
Hornell, NY 14843-1957

Mailing address

100 Loder St
Ste 105
Hornell, NY 14843-1957
Phone (607) 324-9344

Other identifiers

IdentifierTypeStateIssuer
030570OtherNYSTATE LICENSE NUMBER

Other providers in Hornell, NY

All providers in Hornell, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.