Individual provider Active NPI

Stacy Hara Kramer, OTR

  • Pediatric Occupational Therapist
  • Boynton Beach, FL
National Provider Identifier
1336585371
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
15790 Issued in FL
Practice address
6717 Alden Ridge Dr
Boynton Beach, FL 33437-3611
Phone
(561) 955-0248
NPI assigned
May 16, 2013
Last updated
Jan 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 15790 FL Primary

Addresses

Primary practice location

6717 Alden Ridge Dr
Boynton Beach, FL 33437-3611

Mailing address

6717 Alden Ridge Dr
Boynton Beach, FL 33437-3611
Phone (561) 955-0248

Other identifiers 1

IdentifierTypeStateIssuer
008777100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250414001064 FL Practitioner - Occupational Therapist in Private Practice 2163946989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Low Vision Works of Florida LLCGroup PAC ID 8820180805, 12 clinicians

Practice addresses (Care Compare)

3938 S Tamiami TRL
Sarasota, FL 34231-3622
Phone (941) 366-0011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15790FLMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Low Vision Works of Florida LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

3938 Tamiami Trl
Sarasota, FL 34231
Phone (866) 989-1114

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": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1336585371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 ALDEN RIDGE DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373611",
            "telephone_number": "561-955-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 ALDEN RIDGE DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373611",
            "telephone_number": "561-955-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "STACY",
        "middle_name": "HARA",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "15790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008777100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.