Provider Demographics
NPI:1336552769
Name:CRAMER PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:CRAMER PHYSICAL THERAPY, LLC
Other - Org Name:MYOFIT CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:CRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:440-332-7682
Mailing Address - Street 1:14950 SPRINGDALE AVE
Mailing Address - Street 2:PO BOX 987
Mailing Address - City:MIDDLEFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44062-9644
Mailing Address - Country:US
Mailing Address - Phone:440-332-7682
Mailing Address - Fax:
Practice Address - Street 1:14950 SPRINGDALE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:MIDDLEFIELD
Practice Address - State:OH
Practice Address - Zip Code:44062-9644
Practice Address - Country:US
Practice Address - Phone:440-632-1007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH013127261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3129573Medicaid
OH3129573Medicaid