Active NPI
Zachary Cram, PT
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1023669173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05013045A
- Practice address
- 11050 Presbyterian Dr
Indianapolis, IN 46236-2982 - Phone
- (317) 823-6841
- NPI assigned
- Sep 20, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05013045A | IN | Primary |
Addresses
Primary practice location
11050 Presbyterian Dr
Indianapolis, IN 46236-2982
Mailing address
2091 Ridgemere Way
Greenwood, IN 46143-9288
Phone (317) 887-1600
Other practice location 1
222 S 25th St Apt 435
Terre Haute, IN 47803-1866
Phone (317) 887-1600
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Rehab Strategies PRS Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
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.
-
- Physical Therapist
- Greenwood, IN
- NPI 1043155633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1023669173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2091 RIDGEMERE WAY",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461439288",
"telephone_number": "317-887-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11050 PRESBYTERIAN DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462362982",
"telephone_number": "317-823-6841"
}
],
"practiceLocations": [
{
"address_1": "222 S 25th St Apt 435",
"address_purpose": "LOCATION",
"city": "Terre Haute",
"state": "IN",
"postal_code": "478031866",
"country_code": "US",
"telephone_number": "317-887-1600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAM",
"first_name": "ZACHARY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-20",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05013045A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.