Active NPI
Paul J Kremer, PT
- Physical Therapist
- Centerville, OH
National Provider Identifier
1598892796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011701
- Practice address
- 8051 Washington Village Dr
Centerville, OH 45458 - Phone
- (937) 291-3160
- Fax
- (937) 291-3159
- NPI assigned
- Feb 27, 2007
- 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 | PT011701 | OH | Primary |
Addresses
Primary practice location
8051 Washington Village Dr
Centerville, OH 45458
Mailing address
339 Sail Boat Run Apt 2B
Dayton, OH 45458-4272
Phone (937) 417-3714
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0108341 | Medicaid | OH | |
| 000000190966 | Other | OH | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT011701 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1598892796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 SAIL BOAT RUN APT 2B",
"city": "DAYTON",
"state": "OH",
"postal_code": "454584272",
"telephone_number": "937-417-3714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8051 WASHINGTON VILLAGE DR",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "45458",
"telephone_number": "937-291-3160",
"fax_number": "937-291-3159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREMER",
"first_name": "PAUL",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT011701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0108341",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000190966",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.