Individual provider Active NPI

Nicholas Adam Romero, DPT

  • Orthopedic Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1114681392
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT5958 Issued in NM
Practice address
4101 Paseo del Norte NE # 118
Albuquerque, NM 87113-2620
Phone
(505) 503-8376
NPI assigned
Oct 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT5958 NM Primary

Addresses

Primary practice location

4101 Paseo del Norte NE # 118
Albuquerque, NM 87113-2620

Mailing address

5300 Antequera Rd NW Apt 2306
Albuquerque, NM 87120-4592
Phone (505) 979-1196

Other names 1

  • Nick Romero Other name

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

State licenses

LicenseStateTypeSpecialty
PT5958NMMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pit to Peak Physical Therapy LLC Current Accepting new patients
Walk-Off Performance and Rehabilitation LLC Current Accepting new patients

Locations

4101 Paseo del Norte NE
#118
Albuquerque, NM 87113
Phone (505) 503-8376

Organizations & group practices 2

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1114681392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 ANTEQUERA RD NW APT 2306",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204592",
            "telephone_number": "505-979-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 PASEO DEL NORTE NE # 118",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132620",
            "telephone_number": "505-503-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "NICHOLAS",
        "middle_name": "ADAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NM",
            "license": "PT5958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICK",
            "last_name": "ROMERO",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.