Nicole Romanczuk, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC018345 Issued in PA

Practice address

1700 Market St Ste 1005
Philadelphia, PA 19103-3920

Phone

(215) 839-6144

NPI assigned

Mar 29, 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

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": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1245970235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CENTRAL AVE APT A",
            "city": "CHELTENHAM",
            "state": "PA",
            "postal_code": "190122240",
            "telephone_number": "267-414-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MARKET ST STE 1005",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033920",
            "telephone_number": "215-839-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANCZUK",
        "first_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC018345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Susan Roman, CRNP
• John Peter Roman, O.D.
• June Mary Roman, MSN, RN, PMHCNS-BC
• Matthew Antoni Roman, M.D.
• Duane Romana, D.P.M
• Susan Kent Romann, PHARMD
• Augustine Romano
• Connie Marie Romano, CRNP
• Devon Romano, PA-C
• Gary Joseph Romano, MD

• Occupational Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.