MRS. RACHEL GABRIELLE CRANDALL (NPI# 1144606716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144606716 |
| Entity Type | Individual |
| Full Name | MRS. RACHEL GABRIELLE CRANDALL |
| Other Name | MS. RACHEL GABRIELLE MENDELSOHN |
| Credential | PT, DPT |
| Practice Address |
280 N Main St Fl 2 Bountiful UT 84010-6136 |
| Mailing Address |
347 W Davis Blvd Bountiful UT 84010-8047 |
| Practice Telephone | 8013978736 |
| Practice Fax Number | 8013978709 |
| Mailing Telephone | 9283999864 |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2019-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | P15765 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
9649385-2401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
P15765 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 870 E 9400 S, Suite 112, Sandy, UT 840943666 | 8015713081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588685994 | Rachel K Crandall | Social Worker | 29097 Yorkshire Ln, Warren, MI 48088-3720 | 2006-07-21 |
| Street Address |
280 N MAIN ST FL 2 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-6136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053675066 | Erin Mcquivey | Speech-Language Pathologist | 280 N Main St Fl 2, Bountiful, UT 84010-6136 | 2012-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720578610 | Jane Campbell Swanson | Physical Therapist | 280 N Main St # 2, Bountiful, UT 84010-6136 | 2018-05-16 |
| 1801279229 | Megan R Crawford | Physical Therapist | 280 N Main St # 2, Bountiful, UT 84010-6136 | 2015-07-02 |
| 1538278528 | Lisa Quintana | Physical Therapist | 280 N Main St, Bountiful, UT 84010-6136 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024943 | Roots Pediatric Therapy | Physical Therapist | 5976 Kingsford Ave, Park City, UT 84098-6315 | 2020-05-12 |
| 1578082954 | Ot Innovations, LLC | Physical Therapist | 365 W 1550 N Ste H, Layton, UT 84041-2279 | 2017-09-16 |
| 1053856229 | Bradford Scott Bentley Jr. | Physical Therapist | 3741 W 12600 S, Ste 100, Riverton, UT 84065 | 2016-12-27 |
| 1366588030 | Cathy G Hill | Physical Therapist | 520 Quail Ridge Dr, Washington, UT 84780-1454 | 2007-01-30 |
| 1669565131 | Theresa A Holden | Physical Therapist | 44 Medical Drive, Salt Lake, UT 84113 | 2006-10-02 |
| 1609408822 | Nicole Pasdera | Physical Therapist | 90 Albion Village Way, Sandy, UT 84070-4013 | 2020-02-05 |
| 1629625488 | Renee Adele Hensiek | Physical Therapist | 100 Mario Capecchi Drive, Salt Lake City, UT 84113 | 2019-08-26 |
| 1114483914 | Kayla Marie Lee | Physical Therapist | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-02-16 |
| 1467927962 | Linda De La Torre-alva | Physical Therapist | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2018-10-10 |
| 1275055816 | Brandi Dohmen | Physical Therapist | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2017-07-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.