Suzanne Romo, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-047102 Issued in AZ

Practice address

63 E Main St
Mesa, AZ 85201-7417

Phone

(480) 472-0856

NPI assigned

Aug 5, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1245967579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 S AARON",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852082641",
            "telephone_number": "310-525-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852017417",
            "telephone_number": "480-472-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMO",
        "first_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "OTA-047102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smromo@mpsaz.org",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "address_1": "63 E Main St",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852017417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Courtney Romney
• Davis A Romney, M.D.
• Gregory Romney, DMD
• Katherine Marie Romo, PMHNP
• Ryan Elisabeth Romo
• Ronald a Nagy DPM PC
• Ronald C Burton M.D.,P.C.
• Ronald L Rock DDS PC
• Ronin Medical Consultants, PLLC
• Ronin Sleep Solutions LLC

• Occupational Therapy Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.