Active NPI
Eli Ramos, P.T.
- Physical Therapist
- Lackland a F B, TX
National Provider Identifier
1629123641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1171189
- Practice address
- 1655 Selfridge Ave
Lackland Afb
Lackland a F B, TX 78236-5286 - Phone
- (210) 292-5048
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1171189 | TX | Primary |
Addresses
Primary practice location
1655 Selfridge Ave
Lackland Afb
Lackland a F B, TX 78236-5286
Mailing address
151 Bangor Dr
San Antonio, TX 78228-4819
Phone (210) 435-7739
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1171189 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629123641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 BANGOR DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782284819",
"telephone_number": "210-435-7739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 SELFRIDGE AVE",
"address_2": "LACKLAND AFB",
"city": "LACKLAND A F B",
"state": "TX",
"postal_code": "782365286",
"telephone_number": "210-292-5048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMOS",
"first_name": "ELI",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1171189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lackland a F B, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.