Active NPI
Heather Marie Crandell, OTR
- Occupational Therapist
- Madison, WI
National Provider Identifier
1689726432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4409-026
- Practice address
- 2620 Waunona Way
Madison, WI 53713-1525 - Phone
- (608) 223-1452
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 4409-026 | WI | Primary |
Addresses
Primary practice location
2620 Waunona Way
Madison, WI 53713-1525
Mailing address
200 Prairie Heights Drive
Apt 102
Verona, WI 53593
Phone (608) 335-2985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- University of Wisconsin School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
675 W Washington Ave
Madison, WI 53703-2637
Phone (608) 257-9700
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.21 of 100
- Quality
- 71.09
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4409-026 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health Cooperative of South Central Wisconsin | Current | Accepting new patients |
Locations
8054 Watts Rd
Madison, WI 53719
Phone (608) 662-5060
8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766
675 W Washington Ave
Madison, WI 53703
Phone (608) 257-5178
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.
-
- Health Maintenance Organization
- Madison, WI
- NPI 1245260165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689726432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PRAIRIE HEIGHTS DRIVE",
"address_2": "APT 102",
"city": "VERONA",
"state": "WI",
"postal_code": "53593",
"telephone_number": "608-335-2985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 WAUNONA WAY",
"city": "MADISON",
"state": "WI",
"postal_code": "537131525",
"telephone_number": "608-223-1452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANDELL",
"first_name": "HEATHER",
"middle_name": "MARIE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4409-026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.