Organization Active NPI

Crane Rehab Center LLC

  • Clinic/Center
  • Jefferson, LA
National Provider Identifier
1699777961
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
L#Z10453 Issued in LA
Legal business name
CRANE REHAB CENTER LLC
Practice address
101 River Rd
Ste 112
Jefferson, LA 70121-4226
Phone
(504) 828-7696
Fax
(504) 828-8935
NPI assigned
Jun 1, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Sharon A Crane, LOTRNPI 1942333646
Title
Coowner
Phone
(504) 828-7696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X L#Z10453 LA Primary
Physical Therapy Clinic/Center 261QP2000X 01635 LA

Addresses

Primary practice location

101 River Rd
Ste 112
Jefferson, LA 70121-4226

Mailing address

101 River Rd
Ste 112
Jefferson, LA 70121-4226
Phone (504) 828-7696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040720000812 LA Part B Supplier - Clinic/Group Practice 3678552866 Receives reassigned benefits from 13 practitioners
Practice locations: Jefferson, LA

National Provider Directory

National Provider Directory
Tax ID family
Crane Rehab Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1699777961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVER RD",
            "address_2": "STE 112",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701214226",
            "telephone_number": "504-828-7696",
            "fax_number": "504-828-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVER RD",
            "address_2": "STE 112",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701214226",
            "telephone_number": "504-828-7696",
            "fax_number": "504-828-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANE REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COOWNER",
        "authorized_official_telephone_number": "504-828-7696",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LOTR"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "L#Z10453",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "01635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.