Individual provider Active NPI

Julie C Ramos, P.T.

  • Orthopedic Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1104873926
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2002002097 Issued in MO
Practice address
12048 Tesson Ferry Rd
Saint Louis, MO 63128-1727
Phone
(314) 849-4455
Fax
(314) 849-2844
NPI assigned
May 27, 2006
Last updated
Oct 18, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2002002097 MO Primary

Addresses

Primary practice location

12048 Tesson Ferry Rd
Saint Louis, MO 63128-1727

Mailing address

12048 Tesson Ferry Rd
Saint Louis, MO 63128-1727
Phone (314) 849-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060605000018 MO Practitioner - Physical Therapist in Private Practice 4587675699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bennett Rehab Services, LLCGroup PAC ID 6305139551, 3 clinicians

Practice addresses (Care Compare)

524 Old Smizer Mill Rd
Fenton, MO 63026-3538
Phone (636) 600-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bennett Rehab Services, LLC Orthopedic CurrentSince Sep 1, 2023 Accepting new patients
Missouri Luna Care Physical Therapy LLC CurrentSince May 23, 2022 Accepting new patients
Adapt Performance Physio, LLC PastSince Aug 6, 2023 Accepting new patients
The Physical Therapy Center, Inc. Orthopedic PastSince Jul 18, 2013 Accepting new patients

Locations

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

524 Old Smizer Mill Rd
Fenton, MO 63026
Phone (636) 600-1300

231 S Bemiston Ave
Ste 800
Saint Louis, MO 63105
Phone (214) 814-0994

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1104873926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12048 TESSON FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281727",
            "telephone_number": "314-849-4455",
            "fax_number": "314-849-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12048 TESSON FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281727",
            "telephone_number": "314-849-4455",
            "fax_number": "314-849-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "JULIE",
        "middle_name": "C",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MO",
            "license": "2002002097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.