Active NPI
Jared Romine
- Physical Therapy Assistant
- Port Arthur, TX
National Provider Identifier
1174902639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4053719
- Practice address
- 5957 9TH Ave
Port Arthur, TX 77642-6204 - Phone
- (409) 982-8878
- Fax
- (409) 982-5119
- NPI assigned
- May 29, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 4053719 | TX | Primary |
Addresses
Primary practice location
5957 9TH Ave
Port Arthur, TX 77642-6204
Mailing address
5957 9TH Ave
Port Arthur, TX 77642-6204
Phone (409) 982-8878
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4053719 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Texas Hematology and Oncology Center, PA | Past | Accepting new patients | |
| Triangle Therapeutics | Past | Accepting new patients |
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.
-
- Specialist
- Port Arthur, TX
- NPI 1598749491
-
- Specialist
- Port Arthur, TX
- NPI 1619995651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432857600000",
"number": "1174902639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5957 9TH AVE",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776426204",
"telephone_number": "409-982-8878",
"fax_number": "409-982-5119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5957 9TH AVE",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776426204",
"telephone_number": "409-982-8878",
"fax_number": "409-982-5119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMINE",
"first_name": "JARED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-29",
"last_updated": "2015-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "4053719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Arthur, TX
- Chalita La Shon Roberts, PTA
- Gregory Lee Roberts, R.PH.
- Sharon Robertson-Armstrong, LPC-A
- Barry Joe Robertson, DDS
- Tineisha Deshay Romar
- Ronald K. Risinger, DDS, Ms, PC (Gulf Coast Orthodontic Specialists)
- Dennis Eric Rose, M.D.
- Tamisa Latoya Ross, LPC-A
- Rovinger Positioning Systems Corporation
- Gerardo Octavio Ruiz, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.