Individual provider Active NPI

Austin D Kramer, PT, DPT

  • Physical Therapist
  • Mount Vernon, IA
National Provider Identifier
1164988002
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
094614 Issued in IA
Practice address
300 Virgil Ave
Mount Vernon, IA 52314-9569
Phone
(319) 895-8655
Fax
(319) 895-8651
NPI assigned
Feb 15, 2019
Last updated
Feb 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 094614 IA Primary

Addresses

Primary practice location

300 Virgil Ave
Mount Vernon, IA 52314-9569

Mailing address

300 Virgil Ave
Mount Vernon, IA 52314-9569
Phone (319) 895-8655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220902001837 CO Practitioner - Physical Therapist in Private Practice 7719227982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feldhake Physical Therapy LTDGroup PAC ID 0648238410, 33 clinicians

Practice addresses (Care Compare)

10125 W San Juan Way
Suite 120
Littleton, CO 80127-6330
Phone (720) 493-1181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
094614IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Feldhake Physical Therapy, LTD. CurrentSince Jul 11, 2022 Accepting new patients

Locations

2418 E Bridge St
Brighton, CO 80601
Phone (303) 655-8699

7340 S Alton Way
Ste 11-D
Centennial, CO 80112
Phone (720) 493-1181

10125 W San Juan Way
Ste 120
Littleton, CO 80127
Phone (303) 933-9057

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1164988002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VIRGIL AVE",
            "city": "MOUNT VERNON",
            "state": "IA",
            "postal_code": "523149569",
            "telephone_number": "319-895-8655",
            "fax_number": "319-895-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 VIRGIL AVE",
            "city": "MOUNT VERNON",
            "state": "IA",
            "postal_code": "523149569",
            "telephone_number": "319-895-8655",
            "fax_number": "319-895-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "AUSTIN",
        "middle_name": "D",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "094614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.