Penni Jo Romero, P.T., M.S
Individual provider Active NPI Pediatric Physical Therapist · Elkhorn, NE
NPI 1104949833 · NPPES record last updated Feb 21, 2014
Key facts
- NPI
- 1104949833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 620 (NE)
- Practice address
- 3460 Piney Creek Dr
Elkhorn, NE 68022-4420 - Phone
- (402) 289-0053
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 620 | NE | MD | Pediatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 620 | NE | Yes |
Addresses
Primary practice location
3460 Piney Creek Dr
Elkhorn, NE 68022-4420
Mailing address
3460 Piney Creek Dr
Elkhorn, NE 68022-4420
Phone (402) 289-0053
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025210600 | Medicaid | NE |
Other providers in Elkhorn, NE
- Markie Roberts
- Andrew W Robertson
- Tara Leah Robeson
- Rubi Mireya Robles Sigala
- Kathryn Elizabeth Rogers
- Kristen Rosenberg
- Michael David Rosenthal
- Charles E Rosipal
- Jennifer Ross
- Laura Elizabeth Rothe
All providers in Elkhorn, NE · Pediatric Physical Therapist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.