Individual provider Active NPI

Adam Michael Cramer, PT, DPT

  • Physical Therapist
  • Middlefield, OH
National Provider Identifier
1861795692
Registry record updated Dec 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013127 Issued in OH
Practice address
14950 Springdale Ave
Middlefield, OH 44062-9644
Phone
(440) 632-1007
Fax
(440) 574-7254
NPI assigned
Dec 16, 2010
Last updated
Dec 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2016

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 PT013127 OH Primary

Addresses

Primary practice location

14950 Springdale Ave
Middlefield, OH 44062-9644

Mailing address

14950 S. Springdale Ave
PO Box 987
Middlefield, OH 44062-0987
Phone (440) 632-1007

Other identifiers 1

IdentifierTypeStateIssuer
3129573MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127000606 OH Practitioner - Physical Therapist in Private Practice 7719166438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14950 S Springdale Ave
Middlefield, OH 44062-9661
Phone (440) 632-1007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cramer Physical Therapy, LLC CurrentSince Mar 31, 2014 Accepting new patients
Youngstown Ohio Physician Services Company LLC Past Accepting new patients
Steward Medical Group, Inc PastSince Jun 4, 2014 Accepting new patients
Brahms, Cohn & Leb, Inc Past Accepting new patients

Locations

2916 N Ridge Rd E
Ashtabula, OH 44004
Phone (440) 993-1004

Organizations & group practices 4

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": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482710400000",
    "number": "1861795692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14950 S. SPRINGDALE AVE",
            "address_2": "PO BOX 987",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440620987",
            "telephone_number": "440-632-1007",
            "fax_number": "440-574-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14950 SPRINGDALE AVE",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629644",
            "telephone_number": "440-632-1007",
            "fax_number": "440-574-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMER",
        "first_name": "ADAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-16",
        "last_updated": "2016-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT013127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3129573",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlefield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2016; 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.