Individual provider Active NPI

Ramesh Persaud, OT, CHT

  • Hand Occupational Therapist
  • Sheppard Afb, TX
National Provider Identifier
1891763611
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OC006626L Issued in PA
Practice address
149 Hart St
82 Mdos/Sgomz
Sheppard Afb, TX 76311-3477
Phone
(940) 676-2235
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OC006626L PA Primary

Addresses

Primary practice location

149 Hart St
82 Mdos/Sgomz
Sheppard Afb, TX 76311-3477

Mailing address

4804 Whisper Wind Dr
Wichita Falls, TX 76310-3000
Phone (940) 692-1617

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231010000882 DE Practitioner - Occupational Therapist in Private Practice 4486009560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeside Physical Therapy, LLCGroup PAC ID 1658426093, 5 clinicians

Practice addresses (Care Compare)

404 E Front St
Laurel, DE 19956-1741
Phone (302) 280-6920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC006626LPAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Physical Therapy, LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

404 E Front St
Laurel, DE 19956
Phone (302) 280-6920

24488 Sussex Hwy
Ste 2
Seaford, DE 19973
Phone (302) 629-5766

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1891763611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 WHISPER WIND DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763103000",
            "telephone_number": "940-692-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 HART ST",
            "address_2": "82 MDOS/SGOMZ",
            "city": "SHEPPARD AFB",
            "state": "TX",
            "postal_code": "763113477",
            "telephone_number": "940-676-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAUD",
        "first_name": "RAMESH",
        "name_prefix": "Mr.",
        "credential": "OT, CHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "PA",
            "license": "OC006626L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheppard Afb, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.