Active NPI
Lois E Kramer, MS,OTR/L
- Pediatric Occupational Therapist
- Gig Harbor, WA
National Provider Identifier
1053346965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT00000505
- Practice address
- 5334 Olympic Dr NW
Suite 101
Gig Harbor, WA 98335-1722 - Phone
- (253) 853-5155
- Fax
- (253) 853-5150
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT00000505 | WA | Primary |
Addresses
Primary practice location
5334 Olympic Dr NW
Suite 101
Gig Harbor, WA 98335-1722
Mailing address
5334 Olympic Dr NW
Suite 101
Gig Harbor, WA 98335-1722
Phone (253) 853-5155
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7302584 | Other | WA | AETNA |
| 8384570 | Medicaid | WA | |
| KR5874 | Other | WA | REGENCE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT00000505 | WA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Children'S Therapy, L.L.C. | Past | 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.
-
- Clinic/Center
- Gig Harbor, WA
- NPI 1619907300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1053346965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5334 OLYMPIC DR NW",
"address_2": "SUITE 101",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351722",
"telephone_number": "253-853-5155",
"fax_number": "253-853-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5334 OLYMPIC DR NW",
"address_2": "SUITE 101",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351722",
"telephone_number": "253-853-5155",
"fax_number": "253-853-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "LOIS",
"middle_name": "E",
"credential": "MS,OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WA",
"license": "OT00000505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7302584",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8384570",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "KR5874",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.