Provider Demographics
NPI:1336994789
Name:POPE, RAMSAY GARRETT
Entity type:Individual
Prefix:
First Name:RAMSAY
Middle Name:GARRETT
Last Name:POPE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 ALMA ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01854-1703
Mailing Address - Country:US
Mailing Address - Phone:617-699-2296
Mailing Address - Fax:
Practice Address - Street 1:541 MAIN ST STE 203
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1857
Practice Address - Country:US
Practice Address - Phone:781-340-1480
Practice Address - Fax:781-340-1481
Is Sole Proprietor?:No
Enumeration Date:2024-04-19
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA27863225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist