Active NPI
Brent Rawle Cramer, OTR/L
- Gerontology Occupational Therapist
- Grants Pass, OR
National Provider Identifier
1235387853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- 1002631
- Practice address
- 1357 Redwood Cir
Grants Pass, OR 97527-5557 - Phone
- (541) 479-1284
- NPI assigned
- Sep 8, 2008
- Last updated
- Jun 13, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | 1002631 | OR | Primary |
Addresses
Primary practice location
1357 Redwood Cir
Grants Pass, OR 97527-5557
Mailing address
406 SW Wildwood Ave
Grants Pass, OR 97526-2666
Phone (541) 291-6825
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 |
|---|---|---|---|
| Preferred Podiatry Group PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1720037138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1235387853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 SW WILDWOOD AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975262666",
"telephone_number": "541-291-6825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1357 REDWOOD CIR",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275557",
"telephone_number": "541-479-1284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAMER",
"first_name": "BRENT",
"middle_name": "RAWLE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-08",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "OR",
"license": "1002631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.