Individual provider Active NPI

Melissa Ramirez, DPT

  • Physical Therapist
  • Battle Ground, WA
National Provider Identifier
1306372438
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60720885 Issued in WA
Practice address
1808 SW 9TH Ave Ste 101
Battle Ground, WA 98604-3284
Phone
(360) 723-0797
Fax
(360) 723-0732
NPI assigned
May 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60720885 WA Primary

Addresses

Primary practice location

1808 SW 9TH Ave Ste 101
Battle Ground, WA 98604-3284

Mailing address

1480 NE Village St
Fairview, OR 97024-3827
Phone (503) 489-1174

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170612001705 WA Practitioner - Physical Therapist in Private Practice 7214205400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vancouver Rehabilitation and Therapy Clinic P.S.Group PAC ID 5092861922, 4 clinicians

Practice addresses (Care Compare)

9430 Nevancouver Mall Dr
Vancouver, WA 98662-6172
Phone (360) 256-9827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60720885WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vancouver Rehabilitation & Therapy Clinic PS Physical Therapist CurrentSince Feb 24, 2022 Accepting new patients
Camas Physical Therapy Physical Therapist PastSince Oct 1, 2012 Accepting new patients

Locations

9430 NE Vancouver Mall Dr
Vancouver, WA 98662
Phone (360) 253-6947

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1306372438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 NE VILLAGE ST",
            "city": "FAIRVIEW",
            "state": "OR",
            "postal_code": "970243827",
            "telephone_number": "503-489-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 SW 9TH AVE STE 101",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986043284",
            "telephone_number": "360-723-0797",
            "fax_number": "360-723-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "MELISSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60720885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.