=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063331569
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BARBARA MARIE RAMAGE PTA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/10/2026
-----------------------------------------------------
Last Update Date | 07/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1200 E PARTRIDGE ST
-----------------------------------------------------
City | METAMORA
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 61548-9628
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 309-367-4300
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 405 HANNAH DR
-----------------------------------------------------
City | GERMANTOWN HILLS
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 61548-8657
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 309-371-3448
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225200000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Assistant
-----------------------------------------------------
License Number | 160002690
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------