Active NPI
Emilie Cramond, PT, DPT
- Physical Therapist
- Johnston, IA
National Provider Identifier
1508412362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 110867
- Practice address
- 5290 NW 86TH St
Johnston, IA 50131-3017 - Phone
- (515) 875-9706
- Fax
- (515) 875-9707
- NPI assigned
- Aug 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT014194 | GA | |
| Physical Therapist | 225100000X | 110867 | IA | Primary |
Addresses
Primary practice location
5290 NW 86TH St
Johnston, IA 50131-3017
Mailing address
7147 Vista Dr Ste 150
West Des Moines, IA 50266-9317
Phone (515) 875-9925
Other practice location 1
419 Lewiston Rd Ste 3
Grovetown, GA 30813-4290
Phone (706) 945-0420
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emiliejohnson@tic.allscriptsdirect.net | Direct |
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
Interoperability endpoints
- emiliejohnson@tic.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1508412362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7147 VISTA DR STE 150",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502669317",
"telephone_number": "515-875-9925",
"fax_number": "515-875-9223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5290 NW 86TH ST",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501313017",
"telephone_number": "515-875-9706",
"fax_number": "515-875-9707"
}
],
"practiceLocations": [
{
"address_1": "419 Lewiston Rd Ste 3",
"address_purpose": "LOCATION",
"city": "Grovetown",
"state": "GA",
"postal_code": "308134290",
"country_code": "US",
"telephone_number": "706-945-0420",
"fax_number": "706-945-0288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAMOND",
"first_name": "EMILIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-16",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014194",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "110867",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "emiliejohnson@tic.allscriptsdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5290 NW 86th St",
"city": "Johnston",
"state": "IA",
"country_code": "US",
"postal_code": "501313017",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.