Leo B Ramin, PT
Individual provider Active NPI Orthopedic Physical Therapist · Graceville, FL
NPI 1255385167 · NPPES record last updated Dec 26, 2014
Key facts
- NPI
- 1255385167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- PT10317 (FL)
- Practice address
- 951 Prim Ave
Suite 18
Graceville, FL 32440-2505 - Phone
- (850) 360-5016
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellbody Physical Therapy LLC
Practice addresses (Care Compare)
951 Prim Ave
Graceville, FL 32440-2500
Phone (850) 209-3007
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060502000204 | FL | Practitioner - Physical Therapist in Private Practice | 1557371853 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellbody Physical Therapy LLC | Orthopedic | Current |
Accepting new patients |
Locations
951 Prim Ave
Ste 18
Graceville, FL 32440
Phone (850) 209-3007
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT10317 | FL | Yes |
Addresses
Primary practice location
951 Prim Ave
Suite 18
Graceville, FL 32440-2505
Mailing address
2813 Magnolia Blossom LN
Marianna, FL 32446-6395
Phone (850) 209-3007
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | FL |
Other providers in Graceville, FL
- Amber T McDowell
- Tremia Montgomery
- Terry Emmitt Nichols
- William Barry Nolin
- Northwest Florida Healthcare, Inc.
- Karen Clark Ramsey
- Rudd Family Health Care Inc
- Serenity Family Health LLC
- Service Drug Store Inc
- Kiumars E. Shams
All providers in Graceville, FL · Orthopedic Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.