Mark Andrew Romanick, P.T., A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1306 Issued in MN

Practice address

2509 W Fallcreek CT
Grand Forks, ND 58201-5256

Phone

(701) 775-4731

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1063629301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 W FALLCREEK CT",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015256",
            "telephone_number": "701-775-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 W FALLCREEK CT",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015256",
            "telephone_number": "701-775-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANICK",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "credential": "P.T., A.T.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "386",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "5799",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": "021-84",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Michael Roland, MD
• Alison Rollag, MA
• Roller Neurology
• Gina Ruth Roller, PT
• Matthew Joseph Roller, MD
• Michaela Romanick
• Stephen Michael Rood, PT
• Hunter Rooks, M.D.
• Elizabeth Rae Roppel, LICSW
• Krista Gabriele Rose, PA-C

• Athletic Trainer in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Athletic Trainer in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.