Healthcare Provider Details

I. General information

NPI: 1548228950
Provider Name (Legal Business Name): SUSAN M. RAMSEY PT,MA
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 WESTERN AVE
SOUTH PORTLAND ME
04106-2432
US

IV. Provider business mailing address

304 CHICOPEE RD
BUXTON ME
04093-3325
US

V. Phone/Fax

Practice location:
  • Phone: 207-879-7510
  • Fax: 207-879-7511
Mailing address:
  • Phone: 207-642-6204
  • Fax: 207-642-6203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT2603
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: