Individual provider Active NPI

Maribeth B Ramberg, RPT

  • Physical Therapist
  • Picayune, MS
National Provider Identifier
1033101563
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0460 Issued in MS
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

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00111513MedicaidMS
5962700OtherAETNA 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

LicenseStateTypeSpecialty
PT0460MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl River Rehab, P.a. Physical Therapist PastSince Jul 11, 2000 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.

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.

Verify at the official NPI Registry.