Romeo San Diego Gomez, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000004371 Issued in TN

Practice address

101 Gill Street
Alcoa, TN 37701

Phone

(865) 771-2497

NPI assigned

Mar 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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.

• Volunteer Healthcare Services, Inc.

  dba Dynamic Therapy

  • Physical Therapy Clinic/Center
  • Morristown, TN
  • NPI 1093848442
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457485187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 MERCEDES LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379345291",
            "telephone_number": "865-777-0376",
            "fax_number": "865-777-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GILL STREET",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "37701",
            "telephone_number": "865-771-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ROMEO",
        "middle_name": "SAN DIEGO",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000004371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Armstrong Gaskin, APN, FNP-C
• John Trenton Gay, D.O.
• Katelyn Michelle Gibson, C.N.A.
• Sarah Gilley, M.D.
• Elizabeth Evangelista Gomez, PHYSICAL THERAPIST
• Chloe Lorraine Gonzalez Jackson, MD
• Tiffany Monique Gordon, LMSW
• Jennifer Hamilton Gray
• Sydney Green, PA-C
• Travis John Groth, D.O.

• Physical Therapist in Alcoa, TN
• Providers in Alcoa, TN by specialty
• Physical Therapist in Tennessee

• 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.