Individual provider Active NPI

Brian Allen Ramona, L.P.T.

  • Physical Therapist
  • Chesterland, OH
National Provider Identifier
1053409532
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-5293 Issued in OH
Practice address
8254 Mayfield Rd Ste 7
Chesterland, OH 44026
Phone
(440) 729-0405
Fax
(440) 729-0423
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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 PT-5293 OH Primary

Addresses

Primary practice location

8254 Mayfield Rd Ste 7
Chesterland, OH 44026

Mailing address

8254 Mayfield Rd Ste 7
Chesterland, OH 44026-2562
Phone (440) 729-0405

Other identifiers 2

IdentifierTypeStateIssuer
2393217MedicaidOH
000000538976OtherOHANTHEM BLUE CROSS AND BLU

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
PT-5293OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gallucci Chiropractic Clinic Inc 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1053409532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8254 MAYFIELD RD STE 7",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262562",
            "telephone_number": "440-729-0405",
            "fax_number": "440-729-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8254 MAYFIELD RD STE 7",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "44026",
            "telephone_number": "440-729-0405",
            "fax_number": "440-729-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMONA",
        "first_name": "BRIAN",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "L.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-5293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2393217",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS AND BLU",
            "identifier": "000000538976",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.