Active NPI
Ramesh Persaud, OT, CHT
- Hand Occupational Therapist
- Sheppard Afb, TX
National Provider Identifier
1891763611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OC006626L
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OC006626L | PA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Physical Therapy, LLC | Current | 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.
-
- Rehabilitation Practitioner
- Laurel, DE
- NPI 1184854929
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.