Organization Active NPI

Roam Physical Therapy Inc

  • Physical Therapist
  • San Juan Capistrano, CA
National Provider Identifier
1306660154
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ROAM PHYSICAL THERAPY INC
Practice address
31202 Via Cordova
San Juan Capistrano, CA 92675-2922
Phone
(949) 229-3575
NPI assigned
Nov 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Cheryl Heronen
Title
Ceo/ Physical Therapist
Phone
(949) 229-3575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

31202 Via Cordova
San Juan Capistrano, CA 92675-2922

Mailing address

31202 Via Cordova
San Juan Capistrano, CA 92675-2922
Phone (949) 229-3575

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1306660154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31202 VIA CORDOVA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752922",
            "telephone_number": "949-229-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31202 VIA CORDOVA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752922",
            "telephone_number": "949-229-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAM PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "HERONEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CEO/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "949-229-3575"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.