Individual provider Active NPI

Kyle Jacob Romanofski, PT

  • Physical Therapist
  • Dallas, PA
National Provider Identifier
1083500862
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT033263 Issued in PA
Practice address
220 E Center Hill Rd
Dallas, PA 18612-1147
Phone
(570) 675-2300
Fax
(570) 675-6852
NPI assigned
Jun 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT033263 PA Primary

Addresses

Primary practice location

220 E Center Hill Rd
Dallas, PA 18612-1147

Mailing address

1086 Highway 315 Blvd
Wilkes Barre, PA 18702-7012
Phone (570) 823-7761

Other practice location 1

1086 Highway 315 Blvd
Wilkes Barre, PA 18702-7012
Phone (570) 823-7761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702000926 PA Practitioner - Physical Therapist in Private Practice 3072026038 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steffie Enterprises, IncGroup PAC ID 0840225736, 38 clinicians

Practice addresses (Care Compare)

220 E Ctr Hill Rd
Dallas, PA 18612-1147
Phone (570) 675-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dylan RC Enterprises Inc Physical Therapist CurrentSince Sep 2, 2025 Accepting new patients
Alycam Inc Physical Therapist CurrentSince Sep 2, 2025 Accepting new patients
Derek Enterprises LLC Physical Therapist CurrentSince Sep 2, 2025 Accepting new patients
Elite Spine and Sports Physical Therapy Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Steffie Enterprises, Inc Physical Therapist CurrentSince Sep 2, 2025 Accepting new patients

Locations

220 E Center Hill Rd
Dallas, PA 18612
Phone (570) 674-2300

87 Oxford St
Hanover Township, PA 18706
Phone (570) 387-2202

693 Main St
New Milford, PA 18834
Phone (570) 465-2027

106 Rotary Dr
West Hazleton, PA 18202
Phone (570) 455-2286

182 Butler St
Wilkes Barre, PA 18702
Phone (570) 970-0402

1086 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (570) 823-7761

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1083500862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 HIGHWAY 315 BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027012",
            "telephone_number": "570-823-7761",
            "fax_number": "570-822-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E CENTER HILL RD",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121147",
            "telephone_number": "570-675-2300",
            "fax_number": "570-675-6852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1086 Highway 315 Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187027012",
            "country_code": "US",
            "telephone_number": "570-823-7761",
            "fax_number": "570-829-7761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMANOFSKI",
        "first_name": "KYLE",
        "middle_name": "JACOB",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.