Lynette M Cram

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00007499 Issued in WA

Practice address

413 Morris St
Laconner, WA 98257

Phone

(360) 466-7458

Fax

(360) 466-1418

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Balance Point Physical Therapy Clinic LTDGroup PAC ID 2961496872, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Balance Point Physical Therapy Clinic LTD.

  • Physical Therapist
  • La Conner, WA
  • NPI 1598776296
  Medicare reassignment Care Compare group NPD
• La Conner Health and Wellness LLC

  • Primary Care Clinic/Center
  • La Conner, WA
  • NPI 1720356876
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124047402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "address_2": "413 MORRIS ST",
            "city": "LA CONNER",
            "state": "WA",
            "postal_code": "982570505",
            "telephone_number": "360-466-7458",
            "fax_number": "360-466-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 MORRIS ST",
            "city": "LACONNER",
            "state": "WA",
            "postal_code": "98257",
            "telephone_number": "360-466-7458",
            "fax_number": "360-466-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAM",
        "first_name": "LYNETTE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8336950",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janie E Ackerman
• Deborah Gaye Brown, PA-C
• Rebecca Sue Chamberlain, LMP
• Joan K Cross
• Kristin J Fountain
• Timothy E. Kress, D.C.
• Dawn Marie Lee, CDP
• Deloris Ann Lizotte

• All providers in Laconner, WA
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.