Kimberly Ann Roman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

66-111206-01 Issued in NY

Practice address

761 Freedom Plains Rd
Poughkeepsie, NY 12603-6356

Phone

(845) 471-2423

NPI assigned

Aug 9, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Pleasant Valley Physical Therapy LLC

  • Physical Therapist
  • La Grangeville, NY
  • NPI 1164448049
  NPD

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1780358119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 FREEDOM PLAINS RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 FREEDOM PLAINS RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036356",
            "telephone_number": "845-471-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "66-111206-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lagrangept@gmail.com",
            "affiliation": "N",
            "address_1": "761 Freedom Plains Rd",
            "city": "Poughkeepsie",
            "state": "NY",
            "country_code": "US",
            "postal_code": "126036356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah Rohan, PT
• Alexis Rohrbaugh
• Michelle Ann Rojas, NP
• Genevieve Rolleri
• Daniel C Roman, LMSW
• Maria T Romano Palmer, PA
• Isabella Romano, DO
• Renielyz Romero
• Bernice Kathleen Romig, RN
• Stephen Ronda, LMHC, CASAC-M

• Physical Therapy Assistant in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.