Individual provider Active NPI

Wilfried John Kramer, P.T.

  • Physical Therapist
  • Monterey, CA
National Provider Identifier
1982767505
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8775 Issued in CA
Practice address
550 Camino El Estero
Ste 100
Monterey, CA 93940-3231
Phone
(831) 372-2963
Fax
(831) 656-9179
NPI assigned
Dec 18, 2006
Last updated
Nov 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 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 PT8775 CA Primary

Addresses

Primary practice location

550 Camino El Estero
Ste 100
Monterey, CA 93940-3231

Mailing address

312 Pasadera CT
Monterey, CA 93940-7622
Phone (831) 372-2963

Other identifiers 3

IdentifierTypeStateIssuer
PT8775OtherCASTATE LICENSE
00PT87750OtherCABLUE SHIELD PIN NUMBER
P00374181OtherCAMC RAILROAD PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120709000402 CA Practitioner - Physical Therapist in Private Practice 4880693050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan Ranch Physical Therapy Inc.Group PAC ID 7911948328, 2 clinicians

Practice addresses (Care Compare)

550 Camino El Estero
Suite 100
Monterey, CA 93940-3231
Phone (831) 372-2963

Merit-based Incentive Payment System (MIPS)

Final score
22.96 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT8775CAMDPhysical Therapist
8775CAMDSpeech-Language Assistant

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1982767505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 PASADERA CT",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407622",
            "telephone_number": "831-372-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CAMINO EL ESTERO",
            "address_2": "STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403231",
            "telephone_number": "831-372-2963",
            "fax_number": "831-656-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "WILFRIED",
        "middle_name": "JOHN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT8775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT8775",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN NUMBER",
            "identifier": "00PT87750",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC RAILROAD PIN",
            "identifier": "P00374181",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.