Individual provider Active NPI

David J Dramm, DPT

  • Physical Therapist
  • Madison, WI
National Provider Identifier
1174189864
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15755-24 Issued in WI
Practice address
7404 Mineral Point Rd
Madison, WI 53717-1710
Phone
(608) 709-7511
Fax
(608) 709-2785
NPI assigned
May 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60964671 WA
Physical Therapist 225100000X PTL.0017664 CO
Physical Therapist 225100000X 15755-24 WI Primary

Addresses

Primary practice location

7404 Mineral Point Rd
Madison, WI 53717-1710

Mailing address

7404 Mineral Point Rd
Madison, WI 53717-1710
Phone (608) 709-7511

Other identifiers 1

IdentifierTypeStateIssuer
1174189864MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231108002347 WI Practitioner - Physical Therapist in Private Practice 2961732854 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0017664COMDPhysical Therapist
PT60964671WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RNL Wellness Company CurrentSince Jun 25, 2023 Accepting new patients
Madison Balance Clinics LLC Physical Therapist CurrentSince Aug 21, 2023 Accepting new patients

Locations

7404 Mineral Point Rd
Madison, WI 53717
Phone (608) 709-7511

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1174189864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171710",
            "telephone_number": "608-709-7511",
            "fax_number": "608-709-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171710",
            "telephone_number": "608-709-7511",
            "fax_number": "608-709-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAMM",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-17",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60964671",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017664",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15755-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174189864",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.