Thomas John Ramage IV, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0016730 Issued in CO

Practice address

2400 Farmington Ave
Farmington, NM 87401-4509

Phone

(505) 326-0064

NPI assigned

Jun 12, 2019

Last updated

Jan 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nexus Health Physical Therapy Inc

  • Physical Therapist
  • Santa Fe, NM
  • NPI 1427810571
  NPD
• Johnson Physical Therapy and Rehab PC

  • Physical Therapist
  • Cortez, CO
  • NPI 1982729968

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1689233694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 N MILDRED RD",
            "address_2": "STE 2",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212212",
            "telephone_number": "970-564-0311",
            "fax_number": "970-564-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014509",
            "telephone_number": "505-326-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMAGE",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_suffix": "IV",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0016730",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT4784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Quintana, DDS
• Charmin Marie Quintana, AUD
• Susan Ellen Rago, PA-C
• Krista Leigh Rainwater, LPC
• Alice A Rakestraw, LMHC
• Darren Rasheed Ramoutar, D.O.
• Annette Randlemon, CNP
• Erin Randolph, PTA
• R Stephen Rankin, MD
• Derek Raring

• Physical Therapist in Farmington, NM
• Providers in Farmington, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.