Greg Gregory Romberg

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03226 Issued in IA

Practice address

2435 Tech Center Pkwy
Lawrenceville, GA 30043-1311

Phone

(770) 623-9143

NPI assigned

Oct 31, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Greg Gregory Romberg Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Work Systems Rehab, PC

  • Physical Therapist
  • Pella, IA
  • NPI 1417047317
  NPD (past)

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1073867800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S 6TH AVE W",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502084615",
            "telephone_number": "641-831-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 TECH CENTER PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300431311",
            "telephone_number": "770-623-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMBERG",
        "first_name": "GREG",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREG",
            "last_name": "ROMBERG",
            "middle_name": "GREGORY",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• N'Kyla Rolland
• Aimee Monique Roller, R.PH.
• Anne M Roller, LPC
• James Thomas Roman, D.C.
• Romana'S Care Services LLC
• Rocco Romeo, DO
• Philip A. Romm, MD
• Chetana Rondla, M.D.
• Jilpa P Ronvelwala, PAAA
• Brandy Jo Ann Rooffener

• Physical Therapist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.