Romeen Abdollmohammadi, DPT

Individual provider Active NPI Physical Therapist · Oak Harbor, WA

NPI 1235530783 · NPPES record last updated May 9, 2018

Key facts

NPI
1235530783
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT 60481336 (WA)
Practice address
275 SE Cabot Dr # 203
Oak Harbor, WA 98277-3715
Phone
(360) 279-1445
Fax
(360) 279-9296
NPI assigned
Sep 15, 2014
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT 60481336WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Proactive LLC Physical Therapist Past
since May 1, 2017
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 60481336 WA Yes

Addresses

Primary practice location

275 SE Cabot Dr # 203
Oak Harbor, WA 98277-3715

Mailing address

27500 102ND Ave NW Ste 1
Stanwood, WA 98292-8092
Phone (360) 629-7528

Other providers in Oak Harbor, WA

All providers in Oak Harbor, WA · Physical Therapist in Washington

Sources for this page

Verify at the official NPI Registry.