Provider Demographics
NPI:1053409532
Name:RAMONA, BRIAN ALLEN (LPT)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:ALLEN
Last Name:RAMONA
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8254 MAYFIELD RD STE 7
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-2562
Mailing Address - Country:US
Mailing Address - Phone:440-729-0405
Mailing Address - Fax:440-729-0423
Practice Address - Street 1:8254 MAYFIELD RD STE 7
Practice Address - Street 2:
Practice Address - City:CHESTERLAND
Practice Address - State:OH
Practice Address - Zip Code:44026
Practice Address - Country:US
Practice Address - Phone:440-729-0405
Practice Address - Fax:440-729-0423
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-5293225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2393217Medicaid
OH000000538976OtherANTHEM BLUE CROSS AND BLU
OH0893468Medicare PIN
OHRA0893468Medicare UPIN