Individual provider Active NPI

Marissa Roman, DPT

  • Physical Therapist
  • New Braunfels, TX
National Provider Identifier
1750002770
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1368265 Issued in TX
Practice address
651 N Business Ih 35 Ste 415
New Braunfels, TX 78130-7874
Phone
(830) 515-5727
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1368265 TX Primary

Addresses

Primary practice location

651 N Business Ih 35 Ste 415
New Braunfels, TX 78130-7874

Mailing address

390 Gina Dr
Kyle, TX 78640-6348
Phone (512) 739-6027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230124003161 TX Practitioner - Physical Therapist in Private Practice 9739550021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Welch-Olson Holdings IncGroup PAC ID 8022489319, 7 clinicians

Practice addresses (Care Compare)

651 N Business Ih
35 Suite 415
New Braunfels, TX 78130-7874
Phone (830) 515-5727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1368265TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Welch-Olson Holdings, Inc Physical Therapist CurrentSince Nov 28, 2022 Accepting new patients

Locations

651 N Business Ih 35
Ste 415
New Braunfels, TX 78130
Phone (830) 515-5727

Organizations & group practices 1

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": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1750002770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 GINA DR",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406348",
            "telephone_number": "512-739-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N BUSINESS IH 35 STE 415",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307874",
            "telephone_number": "830-515-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "MARISSA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2023-08-18",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1368265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.