Individual provider Active NPI

Paul Thomas Kreamer, PT

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1861443061
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
04148 Issued in LA
Practice address
233 Doucet Rd
Suite B2
Lafayette, LA 70503-3403
Phone
(337) 991-9972
Fax
(337) 991-9974
NPI assigned
May 12, 2006
Last updated
Jan 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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 04148 LA Primary

Addresses

Primary practice location

233 Doucet Rd
Suite B2
Lafayette, LA 70503-3403

Mailing address

233 Doucet Rd
Suite B2
Lafayette, LA 70503-3403
Phone (337) 991-9972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105000655 LA Practitioner - Physical Therapist in Private Practice 8022167402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Louisiana State University School of Medicine in New Orleans, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri City Physical Therapy, Inc.Group PAC ID 3870485030, 5 clinicians

Practice addresses (Care Compare)

233 Doucet Rd
Suite B2
Lafayette, LA 70503-3403
Phone (337) 991-9972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
04148LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri City Physical Therapy, Inc. Physical Therapist CurrentSince Jun 24, 2002 Accepting new patients

Locations

233 Doucet Rd
Ste B2
Lafayette, LA 70503
Phone (337) 991-9972

6772 Johnston St
Unit 1300
Lafayette, LA 70503
Phone (337) 534-8052

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1861443061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 DOUCET RD",
            "address_2": "SUITE B2",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033403",
            "telephone_number": "337-991-9972",
            "fax_number": "337-991-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 DOUCET RD",
            "address_2": "SUITE B2",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033403",
            "telephone_number": "337-991-9972",
            "fax_number": "337-991-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREAMER",
        "first_name": "PAUL",
        "middle_name": "THOMAS",
        "name_prefix": "Prof.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "04148",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 21, 2011; 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.