Active NPI
Andrea E Romanowski, PTA
- Physical Therapy Assistant
- Astoria, NY
National Provider Identifier
1720504723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 009920-1
- Practice address
- 3063 38TH St Ste B
Astoria, NY 11103-4173 - Phone
- (718) 932-1269
- NPI assigned
- Aug 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 009920-1 | NY | Primary |
Addresses
Primary practice location
3063 38TH St Ste B
Astoria, NY 11103-4173
Mailing address
3063 38TH St Ste B
Astoria, NY 11103-4173
Phone (718) 932-1269
Other names 1
- Ms. Andrea E Rodriguez
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009920-1 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516838400000",
"number": "1720504723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3063 38TH ST STE B",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111034173",
"telephone_number": "718-932-1269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3063 38TH ST STE B",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111034173",
"telephone_number": "718-932-1269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMANOWSKI",
"first_name": "ANDREA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-21",
"last_updated": "2018-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "009920-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "RODRIGUEZ",
"middle_name": "E",
"prefix": "MS.",
"credential": "PTA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.