Provider Demographics
NPI:1245214121
Name:RAMSEY, MARK EDWARD (PT, OCS, CHT)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:EDWARD
Last Name:RAMSEY
Suffix:
Gender:M
Credentials:PT, OCS, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 STOCKSDALE DR
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040-5507
Mailing Address - Country:US
Mailing Address - Phone:937-644-3311
Mailing Address - Fax:937-644-0373
Practice Address - Street 1:211 STOCKSDALE DR
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-5507
Practice Address - Country:US
Practice Address - Phone:937-644-3311
Practice Address - Fax:937-644-0373
Is Sole Proprietor?:No
Enumeration Date:2005-12-03
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT 0045152251X0800X
OH9611000450-HTCC2251H1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9221724OtherPHCS NETWORK PROVIDER NUM
OH0959780Medicaid
OH311356625028OtherCARESOURCE MCO
OH11390306OtherCAQH PROVIDER NUMBER
124207400OtherDEPT OF LABOR PROVIDER NU
OH15668OtherNATIONWIDE INSURANCE PROV
OH000000119999OtherANTHEM
OH23-2804807OtherREHAB PROVIDER NETWORK PR
P00133533OtherRAILROAD MEDICARE PROVIDE
OH31-1356625OtherGREAT WEST PROVIDER NUMBE
OH6400078OtherINDIVIDUAL PROVIDER NUMBE
RA0731702Medicare PIN