Individual provider Active NPI

Carl Raymond Cramer, ED.D., RKT, ATC, LAT

  • Athletic Trainer
  • Miami Shores, FL
National Provider Identifier
1841263829
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL 109 Issued in FL
Practice address
11300 N.E. Second Ave
.Barry University Athletic Trainining
Miami Shores, FL 33161-6695
Phone
(305) 899-3497
Fax
(305) 899-4809
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL 109 FL Primary

Addresses

Primary practice location

11300 N.E. Second Ave
.Barry University Athletic Trainining
Miami Shores, FL 33161-6695

Mailing address

17916 SW 29TH St
Miramar, FL 33029-5155
Phone (305) 899-3497

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

LicenseStateTypeSpecialty
AL 109FLMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1841263829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17916 SW 29TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295155",
            "telephone_number": "305-899-3497",
            "fax_number": "305-899-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 N.E. SECOND AVE",
            "address_2": ".BARRY UNIVERSITY ATHLETIC TRAININING",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331616695",
            "telephone_number": "305-899-3497",
            "fax_number": "305-899-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMER",
        "first_name": "CARL",
        "middle_name": "RAYMOND",
        "name_prefix": "Prof.",
        "credential": "ED.D., RKT, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.