Provider Demographics
NPI:1194470005
Name:RAMOS, ALEXANDER ISAAC (DPT)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:ISAAC
Last Name:RAMOS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:ALEX
Other - Middle Name:ISAAC
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:4906 S ALGONQUIAN WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-5392
Mailing Address - Country:US
Mailing Address - Phone:850-628-0068
Mailing Address - Fax:
Practice Address - Street 1:10345 PARKGLENN WAY STE 220
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-3869
Practice Address - Country:US
Practice Address - Phone:303-840-9202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0018218225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist