Provider Demographics
NPI:1912060625
Name:CARPER, RAMONA A (PT)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:A
Last Name:CARPER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:RAMONA
Other - Middle Name:A
Other - Last Name:STAPLETON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:58 TIMBER RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-6299
Mailing Address - Country:US
Mailing Address - Phone:606-546-4985
Mailing Address - Fax:606-546-4965
Practice Address - Street 1:125 S LIBERTY ST
Practice Address - Street 2:
Practice Address - City:BARBOURVILLE
Practice Address - State:KY
Practice Address - Zip Code:40906-1437
Practice Address - Country:US
Practice Address - Phone:606-546-4985
Practice Address - Fax:606-546-4965
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY002288225100000X
NC9472225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC079KUOtherBCBS
KY87022885Medicaid
KY87022885Medicaid
KYP35664Medicare UPIN