Active NPI
Mary Ann B Romero, PHYSICAL THERAPIST
- Physical Therapist
- Edgewood, NM
National Provider Identifier
1144808155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5869
- Practice address
- 1 Linnie CT Ste Apt
Edgewood, NM 87015-9125 - Phone
- (505) 286-7838
- Fax
- (505) 286-8025
- NPI assigned
- Mar 31, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5869 | NM | Primary |
Addresses
Primary practice location
1 Linnie CT Ste Apt
Edgewood, NM 87015-9125
Mailing address
1 Linnie CT Ste Apt
Edgewood, NM 87015-9125
Phone (505) 286-7838
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | info@secure.activesolutionstherapy.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5869 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Solutions Therapy Serv Inc | Physical Therapist | Current | Accepting new patients |
| Paradigm Physical Therapy and Wellness Inc | Physical Therapist | Current | Accepting new patients |
| Paradigm Physical Therapy and Wellness Inc | Physical Therapist | Past | Accepting new patients |
| Active Solutions Therapy Services, Inc | Physical Therapist | Past | Accepting new patients |
Locations
3901 Georgia St NE
Bldg F
Albuquerque, NM 87110
Phone (505) 286-7838
1220 Camino del Llano
Belen, NM 87002
Phone (505) 861-1200
1 Linnie Ct
Edgewood, NM 87015
Phone (505) 286-7838
535 Highway 314 SW
Los Lunas, NM 87031
Phone (505) 861-1200
Organizations & group practices 4
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.
-
- Orthopedic Physical Therapist
- Edgewood, NM
- NPI 1720075880
-
- Physical Therapist
- Los Lunas, NM
- NPI 1386651412
-
- Physical Therapist
- Belen, NM
- NPI 1356491146
-
- Physical Therapist
- Fort Lupton, CO
- NPI 1497190557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1144808155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LINNIE CT STE APT",
"city": "EDGEWOOD",
"state": "NM",
"postal_code": "870159125",
"telephone_number": "505-286-7838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LINNIE CT STE APT",
"city": "EDGEWOOD",
"state": "NM",
"postal_code": "870159125",
"telephone_number": "505-286-7838",
"fax_number": "505-286-8025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERO",
"first_name": "MARY ANN",
"middle_name": "B",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-31",
"last_updated": "2021-03-31",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT5869",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "info@secure.activesolutionstherapy.com",
"affiliation": "N",
"address_1": "1 Linnie Ct Ste Apt",
"city": "Edgewood",
"state": "NM",
"country_code": "US",
"postal_code": "870159125",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Edgewood, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.