Provider Demographics
NPI:1245214121
Name:RAMSEY, MARK (MPT)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:RAMSEY
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 POLARIS PKWY
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-7971
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:340 POLARIS PKWY
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-7971
Practice Address - Country:US
Practice Address - Phone:614-839-2300
Practice Address - Fax:614-839-2301
Is Sole Proprietor?:No
Enumeration Date:2005-12-03
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT004515225100000X
OH9611000450-HTCC2251H1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9221724OtherPHCS NETWORK PROVIDER NUM
OH0959780Medicaid
OH311356625028OtherCARESOURCE MCO
OH11390306OtherCAQH PROVIDER NUMBER
124207400OtherDEPT OF LABOR PROVIDER NU
OH15668OtherNATIONWIDE INSURANCE PROV
OH000000119999OtherANTHEM
OH23-2804807OtherREHAB PROVIDER NETWORK PR
P00133533OtherRAILROAD MEDICARE PROVIDE
OH31-1356625OtherGREAT WEST PROVIDER NUMBE
OH6400078OtherINDIVIDUAL PROVIDER NUMBE
RA0731702Medicare PIN