Individual provider Active NPI

Renee Gillim Romano, P.T.

  • Physical Therapist
  • Los Gatos, CA
National Provider Identifier
1265559348
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16560 Issued in CA
Practice address
16275 Los Gatos Blvd
Los Gatos, CA 95032-4519
Phone
(408) 402-0210
Fax
(408) 402-0710
NPI assigned
Mar 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT16560 CA Primary

Addresses

Primary practice location

16275 Los Gatos Blvd
Los Gatos, CA 95032-4519

Mailing address

16275 Los Gatos Blvd
Los Gatos, CA 95032-4519
Phone (408) 402-0210

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiofit Physical Therapy & Wellness, P.C. Physical Therapist CurrentSince Nov 29, 2017 Accepting new patients
Deryke and Associates, Inc Physical Therapist PastSince Apr 1, 2007 Accepting new patients
Kimberly Gladfelter PastSince Jun 19, 2013 Accepting new patients

Locations

1000 Fremont Ave
Ste 108
Los Altos, CA 94024
Phone (650) 947-8500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265559348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16275 LOS GATOS BLVD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324519",
            "telephone_number": "408-402-0210",
            "fax_number": "408-402-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16275 LOS GATOS BLVD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324519",
            "telephone_number": "408-402-0210",
            "fax_number": "408-402-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIM ROMANO",
        "first_name": "RENEE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.