Individual provider Active NPI

Greg Eldon Cramer

  • Physical Therapy Assistant
  • Sedgwick, KS
National Provider Identifier
1306345376
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-02510 Issued in KS
Practice address
710 N Monroe
Sedgwick, KS 67135
Phone
(316) 772-5185
NPI assigned
Feb 6, 2018
Sex
Male
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
14-02510KSMDPhysical Therapy Assistant

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-02510 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

710 N Monroe
Sedgwick, KS 67135

Mailing address

710 N Monroe
Sedgwick, KS 67204

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0000OtherNON

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 6, 2018.

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1306345376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N MONROE",
            "city": "SEDGWICK",
            "state": "KS",
            "postal_code": "67204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N MONROE",
            "city": "SEDGWICK",
            "state": "KS",
            "postal_code": "67135",
            "telephone_number": "316-772-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMER",
        "first_name": "GREG",
        "middle_name": "ELDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-02510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON",
            "identifier": "0000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedgwick, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.