Jennifer Alberta Romualdo, OTR IL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5205834-4201 Issued in UT

Practice address

451 Bishop Federal Lane
Salt Lake City, UT 84115

Phone

(801) 487-7557

Fax

(801) 468-6843

NPI assigned

Dec 4, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ave Maria Home

  • Nursing Facility/Intermediate Care Facility
  • Memphis, TN
  • NPI 1831250604
  Medicare reassignment NPD

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457429763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 PLEASANT GREEN DRIVE",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "84044",
            "telephone_number": "801-250-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 BISHOP FEDERAL LANE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84115",
            "telephone_number": "801-487-7557",
            "fax_number": "801-468-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMUALDO",
        "first_name": "JENNIFER",
        "middle_name": "ALBERTA",
        "credential": "OTR IL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "5205834-4201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D5319",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savannah Ann Romney
• Stacey Ann Romney, PT
• Amanda Romo
• Cinthya Romo
• Kristen M Romo, MD
• Ronald McDonald House of the Intermountain Area
• Nonie B. Ronald, R.D.
• Donald Rondinelli
• Jennifer Roney, ATC-L
• Sabrina Reann Roney, DNP, APRN, FNP-C

• Occupational Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Occupational Therapist in Utah

• 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.
• 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.