Active NPI
Evette Marie Ramirez, DPT
- Physical Therapist
- Ennis, TX
National Provider Identifier
1154566040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1128510
- Practice address
- 2200 Physicians Boulevard
Ste D
Ennis, TX 75119 - Phone
- (972) 878-1200
- NPI assigned
- Dec 8, 2008
- Last updated
- Jan 8, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1128510 | TX | Primary |
| Sports Physical Therapist | 2251S0007X | 1128510 | TX | |
| Orthopedic Physical Therapist | 2251X0800X | 1128510 | TX |
Addresses
Primary practice location
2200 Physicians Boulevard
Ste D
Ennis, TX 75119
Mailing address
PO Box 674154
Dallas, TX 75267-4154
Phone (214) 369-8555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 815T61 | Other | TX | BCBS |
| 206204401 | Medicaid | TX | |
| 824T45 | Other | TX | BCBS |
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 |
|---|---|---|---|
| 1128510 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Physical Therapy and Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
| Summit Therapeutic Concepts of Ennis LLC | Physical Therapist | Past | Accepting new patients |
| Peak Physical Therapy and Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Peak Physical Therapy & Sports Medicine Center
- Physical Therapist
- McKinney, TX
- NPI 1265662035
-
dba Peak Physical Therapy & Sports Medicine Center of Ennis
- Physical Therapist
- Ennis, TX
- NPI 1578792370
-
dba Peak Physical Therapy & Sports Medicine Center of Ennis
- Physical Therapist
- Ennis, TX
- NPI 1306081070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262908800000",
"number": "1154566040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 674154",
"city": "DALLAS",
"state": "TX",
"postal_code": "752674154",
"telephone_number": "214-369-8555",
"fax_number": "214-369-2683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 PHYSICIANS BOULEVARD",
"address_2": "STE D",
"city": "ENNIS",
"state": "TX",
"postal_code": "75119",
"telephone_number": "972-878-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "EVETTE",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-08",
"last_updated": "2010-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1128510",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "TX",
"license": "1128510",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1128510",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "815T61",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206204401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "824T45",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ennis, TX
- PRHC Ennis LP (Ennis Regional Medical Center)
- Prime Diagnostic Imaging of Ennis, LLC
- Professional Lone Star Anesthesia Associates, P
- Fredric Clark Puckett, D.O.
- Lewis Alton Ragsdale, COTA
- Sherri L Rankin, PT
- RDC Action Group LLC
- Melinda L Redpath
- Regional Home Medical Equipment Inc
- Registered Nurse First Assistants of Texas, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.