Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Crandell

Individual provider Physical Therapist · NPI 1023993417

Jordan Crandell is a Physical Therapist in Private Practice in LA Grange, Kentucky. Qualified in 2025, 1 year ago. Practices with Prorehab Louisville, a 72-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2025

Practice location Address checks out

1407 E Crystal Dr Ste E
LA Grange, KY 40031-1456
Phone: (502) 222-0280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 009363 (KY)

Record details

NPI number1023993417
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Prorehab Louisville — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in LA Grange