Provider Demographics
NPI:1427014257
Name:RAMPY, CARRIE ELLISON (MPT)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:ELLISON
Last Name:RAMPY
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:L
Other - Last Name:ELLISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:505 NEWNAN ST
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-3335
Mailing Address - Country:US
Mailing Address - Phone:678-664-1224
Mailing Address - Fax:669-600-6907
Practice Address - Street 1:505 NEWNAN ST
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-3335
Practice Address - Country:US
Practice Address - Phone:678-664-1224
Practice Address - Fax:669-600-6907
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA007690225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA535401480AMedicaid