Active NPI
Timothy Eric Crannell, DPT
- Physical Therapist
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20686
- Practice address
- 2918 E University Ave
Des Moines, IA 50317-8236 - Phone
- (515) 265-8272
- NPI assigned
- Nov 3, 2008
- Last updated
- Mar 17, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20686 | FL | Primary |
Addresses
Primary practice location
2918 E University Ave
Des Moines, IA 50317-8236
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 590-4029
Other practice location 1
244 Brookside St
Lehigh Acres, FL 33936-6974
Phone (239) 369-5316
Other practice location 2
244 Brookside St
Lehigh Acres, FL 33936-6974
Phone (239) 369-5316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3252 Ridge PT
Bettendorf, IA 52722-5312
Phone (563) 332-4995
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20686 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Bonita Springs Sports & Physical Therapy Center Inc | Physical Therapist | Past | Accepting new patients |
| Athletico LTD | Physical Therapist | Past | Accepting new patients |
| United Outreach Inc | Physical Therapist | Past | Accepting new patients |
Locations
3252 Ridge Pt
Bettendorf, IA 52722
Phone (563) 332-4995
2918 E University Ave
Des Moines, IA 50317
Phone (515) 265-8272
625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
-
dba Athletico Physical Therapy
- Clinic/Center
- Des Moines, IA
- NPI 1871900985
Physical Therapist
-
- Physical Therapist
- Bonita Springs, FL
- NPI 1104893361
-
- Physical Therapist
- Coral Springs, FL
- NPI 1942319884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1962655928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ENTERPRISE DR",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238813",
"telephone_number": "630-590-4029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2918 E UNIVERSITY AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503178236",
"telephone_number": "515-265-8272"
}
],
"practiceLocations": [
{
"address_1": "244 Brookside St",
"address_purpose": "LOCATION",
"city": "Lehigh Acres",
"state": "FL",
"postal_code": "339366974",
"country_code": "US",
"telephone_number": "239-369-5316",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "244 Brookside St",
"address_purpose": "LOCATION",
"city": "Lehigh Acres",
"state": "FL",
"postal_code": "339366974",
"country_code": "US",
"telephone_number": "239-369-5316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRANNELL",
"first_name": "TIMOTHY",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "20686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.