Provider Demographics
NPI:1194996975
Name:RAMOS, YASHAR (PT)
Entity type:Individual
Prefix:MR
First Name:YASHAR
Middle Name:
Last Name:RAMOS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:YASH
Other - Middle Name:
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSPT
Mailing Address - Street 1:417 LITHIA PINECREST RD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-6138
Mailing Address - Country:US
Mailing Address - Phone:813-651-9228
Mailing Address - Fax:813-693-5622
Practice Address - Street 1:417 LITHIA PINECREST RD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-6138
Practice Address - Country:US
Practice Address - Phone:813-651-9228
Practice Address - Fax:813-693-5622
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305204846225100000X
FLPT 25404225100000X
FLPT25404225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist