Individual provider Active NPI

Carin Somer Boucher Cramer, P.T.

  • Physical Therapist
  • Castle Rock, CO
National Provider Identifier
1780815969
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 8656 Issued in CO
Practice address
900 Castleton Rd
#100
Castle Rock, CO 80109-7552
Phone
(303) 688-3914
Fax
(303) 688-4499
NPI assigned
Aug 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 8656 CO Primary

Addresses

Primary practice location

900 Castleton Rd
#100
Castle Rock, CO 80109-7552

Mailing address

7310 S Alton Way
Suitel 6L
Centennial, CO 80112-2334
Phone (303) 688-3914

Other names 1

  • Carin Somer Boucher Former name

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

State licenses

LicenseStateTypeSpecialty
PT 8656COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Interim Healthcare Past Accepting new patients
Specialty Therapy Services Inc Physical Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1780815969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 S ALTON WAY",
            "address_2": "SUITEL 6L",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122334",
            "telephone_number": "303-688-3914",
            "fax_number": "303-688-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CASTLETON RD",
            "address_2": "#100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801097552",
            "telephone_number": "303-688-3914",
            "fax_number": "303-688-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMER",
        "first_name": "CARIN",
        "middle_name": "SOMER BOUCHER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PT 8656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARIN",
            "last_name": "BOUCHER",
            "middle_name": "SOMER",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.