Individual provider Active NPI

Abraham Romero

  • Physical Therapy Assistant
  • Renton, WA
National Provider Identifier
1093426843
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
17800 Talbot Rd S Ste S
Renton, WA 98055-5740
Phone
(425) 277-9096
Fax
(425) 277-1206
NPI assigned
Dec 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Primary

Addresses

Primary practice location

17800 Talbot Rd S Ste S
Renton, WA 98055-5740

Mailing address

25010 106TH Ave SE
Kent, WA 98030-6488
Phone (316) 708-9883

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL sestala.dynatest@gmail.com Direct
Other URL AB.ROMERO015@GMAIL.COM Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dynatest Inc Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients

Locations

118 S Main St
Ulysses, KS 67880
Phone (620) 356-3333

Organizations & group practices 1

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": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1093426843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25010 106TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980306488",
            "telephone_number": "316-708-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17800 TALBOT RD S STE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555740",
            "telephone_number": "425-277-9096",
            "fax_number": "425-277-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "ABRAHAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sestala.dynatest@gmail.com",
            "affiliation": "N",
            "endpointDescription": "BUSINESS EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DIRECT MESSAGE ADDRESS",
            "address_1": "118 S Main St",
            "city": "Ulysses",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678802518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AB.ROMERO015@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "PERSONAL EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DIRECT",
            "address_1": "25010 106th Ave SE",
            "city": "Kent",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980306488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.