Active NPI
Devin M Romo, CMT
- Massage Therapist
- Santa Rosa, CA
National Provider Identifier
1033894621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 52998
- Practice address
- 1212 Farmers LN
Santa Rosa, CA 95405-6728 - Phone
- (707) 494-2294
- NPI assigned
- Jun 20, 2023
- Last updated
- Jun 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 52998 | CA | Primary |
Addresses
Primary practice location
1212 Farmers LN
Santa Rosa, CA 95405-6728
Mailing address
2977 Bay Village Ave
Santa Rosa, CA 95403-2493
Phone (707) 494-2294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52998 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1033894621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2977 BAY VILLAGE AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954032493",
"telephone_number": "707-494-2294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 FARMERS LN",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954056728",
"telephone_number": "707-494-2294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMO",
"first_name": "DEVIN",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-20",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "52998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.