Individual provider Active NPI

Nicandro S Ramos Jr, P.T,

  • Geriatric Physical Therapist
  • Providence, RI
National Provider Identifier
1578996971
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT01194 Issued in RI
Practice address
193 Elmwood Ave
Providence, RI 02907-1460
Phone
(617) 442-3462
Fax
(617) 445-7874
NPI assigned
Aug 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT01194 RI Primary
Neurology Physical Therapist 2251N0400X PT01194 RI

Addresses

Primary practice location

193 Elmwood Ave
Providence, RI 02907-1460

Mailing address

76 Gano St # 2
Providence, RI 02906-3823
Phone (917) 328-6355

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT01194RIMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elmwood Orthopedic Rehab Center, Inc. PastSince Nov 25, 2003 Accepting new patients

Organizations & group practices 1

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": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1578996971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 GANO ST # 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063823",
            "telephone_number": "917-328-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 ELMWOOD AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071460",
            "telephone_number": "617-442-3462",
            "fax_number": "617-445-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS JR",
        "first_name": "NICANDRO",
        "middle_name": "S",
        "credential": "P.T,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "RI",
            "license": "PT01194",
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "RI",
            "license": "PT01194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.