MEDICARE: JUAN JOSE RAMOS PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	054500	NY

General Provider Information

NPI Number	:	1558174938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAN JOSE RAMOS PT, DPT

Provider Business Mailing Address
First Line	:	12 IRIS CT
Second Line	:
City	:	CARMEL
State	:	NY
Zip	:	10512-5857
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	195 N BEDFORD RD
Second Line	:
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-1140
Country	:	US
Telephone Number	:	914-639-3838
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2025
Last Update Date	:	07/22/2025

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