Provider Demographics
NPI:1982812111
Name:KRAMER, ROBYN BETH (MPT)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:BETH
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 CAMINO DEL RIO S 180
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3746
Mailing Address - Country:US
Mailing Address - Phone:619-294-2225
Mailing Address - Fax:619-260-1798
Practice Address - Street 1:124 HERITAGE HLS
Practice Address - Street 2:UNIT A
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589-1317
Practice Address - Country:US
Practice Address - Phone:914-277-7799
Practice Address - Fax:914-276-8481
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026663225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA30250OtherPHYSICAL THERAPY LICENSE
NY026663OtherPHYSICAL THERAPY LICENSE
MD22030OtherPHYSICAL THERAPY LICENSE
IL070.015737OtherPHYSICAL THERAPY LICENSE