Individual provider Active NPI

Leon C Romero, PT, DSC, OCS, ECS

  • Clinical Electrophysiology Physical Therapist
  • Snellville, GA
National Provider Identifier
1144499146
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
License
PT008390 Issued in GA
Practice address
2336 Wisteria Dr Ste 420
Snellville, GA 30078-6160
Phone
(678) 753-4364
Fax
(678) 736-4329
NPI assigned
Feb 22, 2008
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008390 GA
Clinical Electrophysiology Physical Therapist 2251E1300X PT008390 GA Primary
Orthopedic Physical Therapist 2251X0800X PT008390 GA

Addresses

Primary practice location

2336 Wisteria Dr Ste 420
Snellville, GA 30078-6160

Mailing address

PO Box 1566
Snellville, GA 30078-1566
Phone (678) 753-4364

Other identifiers 1

IdentifierTypeStateIssuer
003175864AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100408000433 GA Practitioner - Physical Therapist in Private Practice 1153457668 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
1Source Fitness and Sports-Neuro Rehab LLCGroup PAC ID 4183888316, 3 clinicians

Practice addresses (Care Compare)

2336 Wisteria Dr
Suite 420
Snellville, GA 30078-6160
Phone (678) 753-4364

367 Athens Hwy
Suite 1150
Loganville, GA 30052-2270
Phone 67825740371002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT008390GAMDClinical Electrophysiology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Griffin Imaging, LLC CurrentSince Sep 1, 2019 Accepting new patients
Columbus Diagnostic Center Inc CurrentSince Sep 1, 2019 Accepting new patients
Synapse Emg Services, LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Regional Open MRI, LLC CurrentSince Sep 1, 2019 Accepting new patients
Columbus Diagnostic Center Inc CurrentSince Sep 1, 2019 Accepting new patients
Physical Therapy Pros, LLC Physical Therapist CurrentSince Dec 1, 2013 Accepting new patients
Griffin Imaging, LLC CurrentSince Sep 1, 2019 Accepting new patients
1Source Fitness & Sports-Neuro Rehab LLC Physical Therapist CurrentSince Mar 23, 2020 Accepting new patients
Advance Rehabilitation and Consulting Physical Therapist Past Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist Past Accepting new patients

Locations

3885 Princeton Lakes Way SW
Ste 306
Atlanta, GA 30331
Phone (404) 629-9495

3929 Carter Rd
Bldg C
Buford, GA 30518
Phone (678) 753-4364

2040 10th Ave
Columbus, GA 31901
Phone (706) 322-3000

220 Rock St
Griffin, GA 30224
Phone (770) 229-4660

655 Will St
Griffin, GA 30224
Phone (770) 229-4660

367 Athens Hwy
Ste 1150
Loganville, GA 30052
Phone (678) 257-4037

1741 Newnan Crossing Blvd E
Ste G
Newnan, GA 30265
Phone (678) 633-3500

2336 Wisteria Dr
Ste 420
Snellville, GA 30078
Phone (678) 753-4364

2516 University Dr
#A
Thomson, GA 30824
Phone (706) 595-4674

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1144499146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1566",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300781566",
            "telephone_number": "678-753-4364",
            "fax_number": "678-736-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 WISTERIA DR STE 420",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786160",
            "telephone_number": "678-753-4364",
            "fax_number": "678-736-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "LEON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PT, DSC, OCS, ECS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-22",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008390",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "GA",
            "license": "PT008390",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT008390",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003175864A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.