Basic Information
| Provider Information | |||||||||
| NPI: | 1689751182 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RAMSEY REHABILITATION, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 39 CINEMA BLVD | ||||||||
| Address2: | |||||||||
| City: | LEOMINSTER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 014533290 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9784666677 | ||||||||
| FaxNumber: | 9784661133 | ||||||||
| Practice Location | |||||||||
| Address1: | 39 CINEMA BLVD | ||||||||
| Address2: | |||||||||
| City: | LEOMINSTER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 014533290 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9784666677 | ||||||||
| FaxNumber: | 9784661133 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2006 | ||||||||
| LastUpdateDate: | 12/14/2007 | ||||||||
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| AuthorizedOfficialLastName: | COURNOYER ASTLE | ||||||||
| AuthorizedOfficialFirstName: | SHARON | ||||||||
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| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9784666677 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | MA | Y | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
ID Information
| ID | Type | State | Issuer | Description | 626093 | 01 | MA | HARVARD PILGRIM | OTHER | 6300053 | 01 | MA | UNITED HEALTHCARE | OTHER | 56101 | 01 | MA | FALLON | OTHER | 7093533 | 01 | MA | AETNA | OTHER | Y671047 | 01 | MA | BCBS | OTHER | 9781269 | 05 | MA | MEDICAID | 613815 | 01 | MA | TUFTS | OTHER |