Active NPI
Kimberly R Schramm, PT
- Physical Therapist
- Sumrall, MS
National Provider Identifier
1881703429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2167
- Practice address
- 1240 Highway 42
Sumrall, MS 39482 - Phone
- (601) 758-4891
- Fax
- (601) 758-4903
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2167 | MS | Primary |
Addresses
Primary practice location
1240 Highway 42
Sumrall, MS 39482
Mailing address
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 758-4891
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 640507572YK | Other | MS | AMERICAN ADMIN GROUP |
| 03078701 | Medicaid | MS | |
| 1419796 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kschramm4733@directpatientrecord.com | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT2167 | MS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1881703429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 S 28TH AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017246",
"telephone_number": "601-758-4891",
"fax_number": "601-579-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 HIGHWAY 42",
"city": "SUMRALL",
"state": "MS",
"postal_code": "39482",
"telephone_number": "601-758-4891",
"fax_number": "601-758-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRAMM",
"first_name": "KIMBERLY",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT2167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ADMIN GROUP",
"identifier": "640507572YK",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03078701",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1419796",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kschramm4733@directpatientrecord.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1240 Highway 42",
"city": "Sumrall",
"state": "MS",
"country_code": "US",
"postal_code": "39482",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sumrall, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.