Matthew James Krammen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11513662-2401 Issued in UT

Practice address

597 Parkway Dr Ste C
Park City, UT 84098-5733

Phone

(435) 649-7335

NPI assigned

Jan 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

High Desert Physical Therapy LLCGroup PAC ID 3577829373, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• High Desert Physical Therapy LLC

  • Physical Therapist
  • Chubbuck, ID
  • NPI 1427572957
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1700416245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 N COMMONS BLVD APT J408",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840325671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 PARKWAY DR STE C",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985733",
            "telephone_number": "435-649-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMMEN",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "11513662-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Sue Kofford
• Nathaniel David Kofford, M.D., MSPH
• Brian S. Krachman, D.O.
• Melissa Krajeski, L.AC.
• Wyatt T Krajeski, LICENSED ACU
• Arthur James Labelle, D.C.
• Nicole Lee Ladouceur, OTRL
• Colton T Lambert, PA-C
• Richard G Lamere, MD
• Heath Lamoreaux

• Physical Therapist in Park City, UT
• Providers in Park City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.