Active NPI
Stephen P Kramer, P.T., ATC
- Physical Therapist
- Lafayette, LA
National Provider Identifier
1598835803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01644
- Practice address
- 112 Republic Ave Ste E
Lafayette, LA 70508-6863 - Phone
- (337) 988-7777
- Fax
- (337) 988-7720
- NPI assigned
- Nov 8, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 01644 | LA | Primary |
Addresses
Primary practice location
112 Republic Ave Ste E
Lafayette, LA 70508-6863
Mailing address
112 Republic Ave Ste E
Lafayette, LA 70508-6863
Phone (337) 988-7777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1183041 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 Republic Ave
Suite E
Lafayette, LA 70508-6863
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01644 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Clinic of Lafayette, Inc. | Physical Therapist | Current | Accepting new patients |
| Physical Therapy South, Inc | Physical Therapist | Current | Accepting new patients |
| Physical Therapy South Inc | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Clinic of Lafayette, LLC | Physical Therapist | Past | Accepting new patients |
Locations
1432 S College Rd
Lafayette, LA 70503
Phone (318) 232-7080
112 Republic Ave
Ste E
Lafayette, LA 70508
Phone (337) 988-7777
Organizations & group practices 4
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.
-
- Physical Therapist
- Lafayette, LA
- NPI 1538129408
-
- Physical Therapist
- Lafayette, LA
- NPI 1073604476
-
- Physical Therapist
- Youngsville, LA
- NPI 1689074437
-
- Physical Therapist
- Lafayette, LA
- NPI 1114471612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1598835803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 REPUBLIC AVE STE E",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086863",
"telephone_number": "337-988-7777",
"fax_number": "337-988-7720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 REPUBLIC AVE STE E",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086863",
"telephone_number": "337-988-7777",
"fax_number": "337-988-7720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "STEPHEN",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "P.T., ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "01644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1183041",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.