Individual provider Active NPI

Romario Andre Gayle, PT

  • Physical Therapist
  • Fredericksburg, VA
National Provider Identifier
1093572778
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216989 Issued in VA
Practice address
10518 Spotsylvania Ave Ste 100
Fredericksburg, VA 22408-2693
Phone
(540) 710-5341
Fax
(540) 710-5372
NPI assigned
Feb 29, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305216989 VA Primary
Physical Therapist 225100000X 29844 MD

Addresses

Primary practice location

10518 Spotsylvania Ave Ste 100
Fredericksburg, VA 22408-2693

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (650) 575-6200

Other practice location 1

10504 Wakeman Dr
Fredericksburg, VA 22407-8040
Phone (540) 315-8249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240322003944 DC Practitioner - Physical Therapist in Private Practice 6901243187 Reassigns benefits to 1 organization
I20250410000594 VA Practitioner - Physical Therapist in Private Practice 6901243187 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians
Tidewater Physical Therapy LLCGroup PAC ID 6406759281, 225 clinicians

Practice addresses (Care Compare)

10504 Wakeman Dr
Fredericksburg, VA 22407-8040
Phone (540) 315-8249

10518 Spotsylvania Ave
Suite 100
Fredericksburg, VA 22408-2693
Phone (540) 710-5341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29844MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Nov 24, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Nov 24, 2025 Accepting new patients
Athletico, LTD Physical Therapist CurrentSince Nov 24, 2025 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Mar 11, 2025 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Mar 11, 2025 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Nov 24, 2025 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Nov 24, 2025 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

192 Halpine Rd
Ste D
Rockville, MD 20852
Phone (240) 514-2400

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

200 N Glebe Rd
Ste GR2
Arlington, VA 22203
Phone (703) 243-1300

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

10504 Wakeman Dr
Fredericksburg, VA 22407
Phone (540) 315-8249

10518 Spotsylvania Ave
#100
Fredericksburg, VA 22408
Phone (540) 710-5341

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

11662 Sudley Manor Dr
#50B
Manassas, VA 20109
Phone (571) 321-5720

4625 Virginia Beach Blvd
Ste 103
Virginia Beach, VA 23462
Phone (757) 600-5999

Organizations & group practices 10

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": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1093572778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "650-575-6200",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10518 SPOTSYLVANIA AVE STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082693",
            "telephone_number": "540-710-5341",
            "fax_number": "540-710-5372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10504 Wakeman Dr",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224078040",
            "country_code": "US",
            "telephone_number": "540-315-8249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAYLE",
        "first_name": "ROMARIO",
        "middle_name": "ANDRE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-29",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216989",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.