Active NPI
Dorina Carmen Roman Ware, PT
- Physical Therapist
- St. Marys, GA
National Provider Identifier
1174859672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014529
- Practice address
- 100 A Lindsey Lane
St. Marys, GA 31558-1727 - Phone
- (912) 729-1333
- Fax
- (912) 729-5259
- NPI assigned
- Oct 19, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT014529 | GA | Primary |
| Physical Therapist | 225100000X | PT012543 | OH |
Addresses
Primary practice location
100 A Lindsey Lane
St. Marys, GA 31558-1727
Mailing address
PO Box 949
Rome, GA 30162-0949
Phone (912) 729-1333
Other practice location 1
24400 Highpoint Rd
Suite 10
Beachwood, OH 44122-6054
Phone (216) 896-0824 ext. 17
Other names 1
- Dorina Carmen Roman
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012543 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1174859672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 949",
"city": "ROME",
"state": "GA",
"postal_code": "301620949",
"telephone_number": "912-729-1333",
"fax_number": "912-729-5259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 A LINDSEY LANE",
"city": "ST. MARYS",
"state": "GA",
"postal_code": "315581727",
"telephone_number": "912-729-1333",
"fax_number": "912-729-5259"
}
],
"practiceLocations": [
{
"address_1": "24400 Highpoint Rd",
"address_2": "Suite 10",
"address_purpose": "LOCATION",
"city": "Beachwood",
"state": "OH",
"postal_code": "441226054",
"country_code": "US",
"telephone_number": "216-896-0824 x17",
"fax_number": "216-896-0825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMAN WARE",
"first_name": "DORINA",
"middle_name": "CARMEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-19",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014529",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT012543",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DORINA",
"last_name": "ROMAN",
"middle_name": "CARMEN",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St. Marys, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.