Healthcare Provider Details

I. General information

NPI: 1366466161
Provider Name (Legal Business Name): KRISTIN M CRAMER O.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7332 E CAMELBACK RD SUITE A
SCOTTSDALE AZ
85251-3443
US

IV. Provider business mailing address

6031 N 81ST ST
SCOTTSDALE AZ
85250-5858
US

V. Phone/Fax

Practice location:
  • Phone: 480-949-1500
  • Fax: 480-949-1501
Mailing address:
  • Phone: 602-577-2148
  • Fax: 480-419-1941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1058
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number1058
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: