Active NPI
Nancy Beese Kramer, PT
- Pediatric Physical Therapist
- St. Louis, MO
National Provider Identifier
1972838712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 004604
- Practice address
- 1177 N. Warson Rd
St. Louis, MO 63132 - Phone
- (314) 569-2211
- Fax
- (314) 569-3656
- NPI assigned
- Oct 13, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 113566 | MO | |
| Pediatric Physical Therapist | 2251P0200X | 004604 | MO | Primary |
Addresses
Primary practice location
1177 N. Warson Rd
St. Louis, MO 63132
Mailing address
1177 N. Warson Rd
St. Louis, MO 63132
Phone (314) 569-2211
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
| License | State | Type | Specialty |
|---|---|---|---|
| 113566 | MO | MD | Pediatric Physical Therapist |
| 004604 | MO | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Louis Arc | Past | Accepting new patients | |
| St. Louis Arc Inc | Pediatrics | 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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Hazelwood, MO
- NPI 1669658910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1972838712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1177 N. WARSON RD",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63132",
"telephone_number": "314-569-2211",
"fax_number": "314-569-3656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1177 N. WARSON RD",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63132",
"telephone_number": "314-569-2211",
"fax_number": "314-569-3656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "NANCY",
"middle_name": "BEESE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-13",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MO",
"license": "113566",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MO",
"license": "004604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.