Individual provider Active NPI

Lawrence Segui Ramiscal, PT,DPT,OCS,FAAOMPT

  • Orthopedic Physical Therapist
  • Burlington, NJ
National Provider Identifier
1124001870
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA00943200 Issued in NJ
Practice address
11 Cadillac Rd
Burlington, NJ 08016-4815
Phone
(609) 880-0880
Fax
(609) 227-4423
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 40QA00943200 NJ Primary
Sports Physical Therapist 2251S0007X NJ

Addresses

Primary practice location

11 Cadillac Rd
Burlington, NJ 08016-4815

Mailing address

22 Woodstone LN
Burlington, NJ 08016-4333
Phone (609) 721-1492

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

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1124001870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WOODSTONE LN",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164333",
            "telephone_number": "609-721-1492",
            "fax_number": "609-227-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CADILLAC RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164815",
            "telephone_number": "609-880-0880",
            "fax_number": "609-227-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMISCAL",
        "first_name": "LAWRENCE",
        "middle_name": "SEGUI",
        "name_prefix": "Dr.",
        "credential": "PT,DPT,OCS,FAAOMPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA00943200",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.