Individual provider Active NPI

Alexzander Romero, PT, DPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1265267603
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20119 Issued in CO
Practice address
855 Citadel Dr E
Colorado Springs, CO 80909-5304
Phone
(719) 465-1502
Fax
(719) 465-2087
NPI assigned
Sep 5, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20119 CO Primary

Addresses

Primary practice location

855 Citadel Dr E
Colorado Springs, CO 80909-5304

Mailing address

855 Citadel Dr E
Colorado Springs, CO 80909-5304
Phone (719) 465-1502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917003497 CO Practitioner - Physical Therapist in Private Practice 7810438975 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20119COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rezac & Associates Physical Therapy, LLC Physical Therapist CurrentSince Sep 5, 2024 Accepting new patients

Locations

855 Citadel Dr E
Colorado Springs, CO 80909
Phone (719) 465-1502

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.

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1265267603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 CITADEL DR E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095304",
            "telephone_number": "719-465-1502",
            "fax_number": "719-465-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 CITADEL DR E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095304",
            "telephone_number": "719-465-1502",
            "fax_number": "719-465-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "ALEXZANDER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "20119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.