Active NPI
Maribeth B Ramberg, RPT
- Physical Therapist
- Picayune, MS
National Provider Identifier
1033101563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0460
- Practice address
- 1000 Fifth Ave
Picayune, MS 39466-3214 - Phone
- (601) 798-8003
- Fax
- (601) 798-6050
- NPI assigned
- Aug 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0460 | MS | Primary |
Addresses
Primary practice location
1000 Fifth Ave
Picayune, MS 39466-3214
Mailing address
1000 Fifth Ave
Picayune, MS 39466-3214
Phone (601) 798-8003
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00111513 | Medicaid | MS | |
| 5962700 | Other | AETNA PIN NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0460 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearl River Rehab, P.a. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Picayune, MS
- NPI 1114935707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1033101563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 FIFTH AVE",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394663214",
"telephone_number": "601-798-8003",
"fax_number": "601-798-6050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 FIFTH AVE",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394663214",
"telephone_number": "601-798-8003",
"fax_number": "601-798-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMBERG",
"first_name": "MARIBETH",
"middle_name": "B",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT0460",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00111513",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN NUMBER",
"identifier": "5962700",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Picayune, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.