Active NPI
Madison Nicole Crandall, OTD
- Occupational Therapist
- Chico, CA
National Provider Identifier
1710864475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 28058
- Practice address
- 2550 Floral Ave
Chico, CA 95973-9368 - Phone
- (530) 894-0702
- NPI assigned
- Aug 16, 2025
- 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 | 28058 | CA | Primary |
Addresses
Primary practice location
2550 Floral Ave
Chico, CA 95973-9368
Mailing address
2099 Hartford Dr Unit 27
Chico, CA 95928-6451
Phone (530) 774-4040
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28058 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755302400000",
"number": "1710864475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2099 HARTFORD DR UNIT 27",
"city": "CHICO",
"state": "CA",
"postal_code": "959286451",
"telephone_number": "530-774-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 FLORAL AVE",
"city": "CHICO",
"state": "CA",
"postal_code": "959739368",
"telephone_number": "530-894-0702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANDALL",
"first_name": "MADISON",
"middle_name": "NICOLE",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-16",
"last_updated": "2025-08-16",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "28058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.