Individual provider Active NPI

Raisa Marie Fernan Romero, OT

  • Occupational Therapist
  • Baltimore, MD
National Provider Identifier
1689218133
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
021970 Issued in NY
Practice address
1111 E Cold Spring LN
Baltimore, MD 21239-3932
Phone
(443) 961-3071
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 021970 NY Primary

Addresses

Primary practice location

1111 E Cold Spring LN
Baltimore, MD 21239-3932

Mailing address

511 Jermor LN Ste 1092
Westminster, MD 21157-6151

Other names 1

  • Raisa Marie Fernan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250823000217 MD Practitioner - Occupational Therapist in Private Practice 6002316122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therafit Enterprises IncGroup PAC ID 8921255688, 33 clinicians

Practice addresses (Care Compare)

1111 E Cold Spring LN
Therafit Rehab Cold Spring
Baltimore, MD 21239-3932
Phone (443) 364-8182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021970NYMDClinical Neuropsychologist
09114MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therafit Enterprises, Inc. Occupational Therapist CurrentSince Aug 8, 2025 Accepting new patients
Therafit Enterprises, Inc. Occupational Therapist CurrentSince Aug 8, 2025 Accepting new patients
Therafit Enterprises, Inc. Occupational Therapist Current Accepting new patients
Therafit Enterprises, Inc. PastSince Aug 8, 2025 Accepting new patients

Locations

1111 E Cold Spring Ln
Baltimore, MD 21239
Phone (410) 312-7631

511 Jermor Ln
Ste 102
Westminster, MD 21157
Phone (410) 415-1992

7210 Rutherford Rd
Ste G
Windsor Mill, MD 21244
Phone (443) 364-8181

Organizations & group practices 4

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": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1689218133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 JERMOR LN STE 1092",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E COLD SPRING LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393932",
            "telephone_number": "443-961-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "RAISA MARIE",
        "middle_name": "FERNAN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAISA MARIE",
            "last_name": "FERNAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.