Ramaraj Rengaswamy, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 12419 Issued in FL

Practice address

6012 Magnolia Beach Rd
Panama City Beach, FL 32408-7065

Phone

(850) 230-1802

Fax

(850) 230-8949

NPI assigned

Jan 5, 2010

Last updated

Jan 5, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1053641647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 TUPELO CT",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324058801",
            "telephone_number": "850-319-2063",
            "fax_number": "850-588-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 MAGNOLIA BEACH RD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324087065",
            "telephone_number": "850-230-1802",
            "fax_number": "850-230-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENGASWAMY",
        "first_name": "RAMARAJ",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 12419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.