Provider Demographics
NPI:1912119900
Name:RAMSEY REHABILITATION INC
Entity type:Organization
Organization Name:RAMSEY REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:COURNOYER ASTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-466-6677
Mailing Address - Street 1:33 ELECTRIC AVE
Mailing Address - Street 2:SUITE B10
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-7954
Mailing Address - Country:US
Mailing Address - Phone:978-353-0030
Mailing Address - Fax:978-353-0059
Practice Address - Street 1:33 ELECTRIC AVE
Practice Address - Street 2:SUITE B10
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-7954
Practice Address - Country:US
Practice Address - Phone:978-353-0030
Practice Address - Fax:978-353-0059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA40261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9781269Medicaid
MAY61047OtherBLUE CROSS BLUE SHIELD
MA6260093OtherHARVARD PILGRIM
MA613815OtherTUFTS
MA56101OtherFALLON
PT0054Medicare PIN