Amy St. Romain, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT04159 Issued in LA

Practice address

29301 N Dixie Ranch Rd
Lacombe, LA 70445-5403

Phone

(985) 871-4114

NPI assigned

Feb 13, 2015

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

• Amy Gewin Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 13, 2015.

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1235520164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29301 N DIXIE RANCH RD",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704455403",
            "telephone_number": "985-871-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29301 N DIXIE RANCH RD",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704455403",
            "telephone_number": "985-871-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. ROMAIN",
        "first_name": "AMY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT04159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GEWIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Lacombe, LA
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.