Individual provider Active NPI

Sarah Crandall, L.M.T.

  • Massage Therapist
  • Cottage Grove, MN
National Provider Identifier
1962284489
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
TMASS-001889- Issued in MN
Practice address
7501 80TH St S Ste 100
Cottage Grove, MN 55016-3063
Phone
(651) 459-2225
NPI assigned
Oct 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X TMASS-001889- MN Primary

Addresses

Primary practice location

7501 80TH St S Ste 100
Cottage Grove, MN 55016-3063

Mailing address

7501 80TH St S Ste 100
Cottage Grove, MN 55016-3063
Phone (651) 459-2225

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

LicenseStateTypeSpecialty
TMASS-001889-MNMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Wellness Center of C G P.a. CurrentSince Oct 22, 2023 Accepting new patients

Locations

7501 80th St S
Ste 100
Cottage Grove, MN 55016
Phone (651) 459-2225

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.

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1962284489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 80TH ST S STE 100",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163063",
            "telephone_number": "651-459-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 80TH ST S STE 100",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163063",
            "telephone_number": "651-459-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "SARAH",
        "credential": "L.M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "TMASS-001889-",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.