Jordan Romeo, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31008055A Issued in IN

Practice address

4180 Sage Bluff Xing
Fort Wayne, IN 46804-2363

Phone

(260) 443-7300

NPI assigned

Jun 22, 2023

Reactivated

Mar 2, 2026

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Wheelchair Clinic Inc

  • Physical Therapist
  • Amarillo, TX
  • NPI 1265904064

  FL

  Medicare reassignment

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1780360099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 HOLTON AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468062414",
            "telephone_number": "917-292-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 SAGE BLUFF XING",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042363",
            "telephone_number": "260-443-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMEO",
        "first_name": "JORDAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2026-03-02",
        "certification_date": "2023-06-22",
        "deactivation_date": "2023-09-05",
        "reactivation_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31008055A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan C. Rolf, M.D.
• Quantel Valdezzel Rolle, MD
• Cindi Rolleston, PT
• Avery Rheann Rolsten, PA-C
• Jacqueline Kay Roman, LPN
• Lanelle Romer
• Christopher Salvado Romero, OTR
• Kevin Romero, RBT
• Melissa Rae Romine, NP-C
• Tonni Romines-Ditton

• Occupational Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.