Healthcare Provider Details

I. General information

NPI: 1437164167
Provider Name (Legal Business Name): JOIE RAMKER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 08/09/2022
Certification Date: 08/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 ALT 19 SUITE A
PALM HARBOR FL
34683-5235
US

IV. Provider business mailing address

2150 ALT 19 SUITE A
PALM HARBOR FL
34683-5363
US

V. Phone/Fax

Practice location:
  • Phone: 727-773-2687
  • Fax: 727-773-2742
Mailing address:
  • Phone: 727-773-2687
  • Fax: 727-773-2742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT2581
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. JOAN RAMKER
Title or Position: OWNER
Credential: PT
Phone: 727-515-7249