Provider Demographics
NPI:1104832989
Name:RAMKER, JOAN (PT)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:
Last Name:RAMKER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1903 SUTHERLAND DR W
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-3454
Mailing Address - Country:US
Mailing Address - Phone:727-773-2687
Mailing Address - Fax:727-773-2742
Practice Address - Street 1:2150 ALT 19 STE A
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-5363
Practice Address - Country:US
Practice Address - Phone:727-773-2687
Practice Address - Fax:727-773-2742
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT00025812251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL880345500Medicaid
FLPT2581OtherBOARD OF MEDICAL EXAMINERS