Active NPI
Kelly Kristine Ramirez, MPT
- Physical Therapist
- San Jose, CA
National Provider Identifier
1063710424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT37614
- Practice address
- 2145 The Alameda
San Jose, CA 95126-1141 - Phone
- (408) 248-6886
- Fax
- (408) 248-4923
- NPI assigned
- Mar 9, 2011
- 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 | PT37614 | CA | Primary |
Addresses
Primary practice location
2145 The Alameda
San Jose, CA 95126-1141
Mailing address
2145 The Alameda
San Jose, CA 95126-1141
Phone (408) 248-6886
Other names 1
- Kelly Kristine Deala
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 |
|---|---|---|---|
| PT37614 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435276800000",
"number": "1063710424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2145 THE ALAMEDA",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951261141",
"telephone_number": "408-248-6886",
"fax_number": "408-248-4923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2145 THE ALAMEDA",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951261141",
"telephone_number": "408-248-6886",
"fax_number": "408-248-4923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "KELLY",
"middle_name": "KRISTINE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-09",
"last_updated": "2015-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT37614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "DEALA",
"middle_name": "KRISTINE",
"credential": "MPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.