Individual provider Active NPI

Jodi L Roman, PT, DPT

  • Physical Therapist
  • Estes Park, CO
National Provider Identifier
1790168094
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0013320 Issued in CO
Practice address
1191 Woodstock Dr Unit 2
Estes Park, CO 80517-5414
Phone
(970) 236-2535
Fax
(970) 236-2568
NPI assigned
Jul 6, 2015
Last updated
Feb 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 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 PTL.0013320 CO Primary

Addresses

Primary practice location

1191 Woodstock Dr Unit 2
Estes Park, CO 80517-5414

Mailing address

1191 Woodstock Dr Unit 2
Estes Park, CO 80517-5414
Phone (970) 236-2535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150807013628 CO Practitioner - Physical Therapist in Private Practice 6608180401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Estes Park Physical Therapy PLLCGroup PAC ID 8123438090, 3 clinicians

Practice addresses (Care Compare)

1191 Woodstock Dr
Unit 2
Estes Park, CO 80517-5414
Phone (970) 236-2535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0013320COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Estes Park Physical Therapy PLLC Physical Therapist CurrentSince Oct 3, 2020 Accepting new patients
All Abilities Physical Therapy, LLC Current Accepting new patients

Locations

1191 Woodstock Dr
Unit 2
Estes Park, CO 80517
Phone (970) 236-2535

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1790168094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 WOODSTOCK DR UNIT 2",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805175414",
            "telephone_number": "970-236-2535",
            "fax_number": "970-236-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 WOODSTOCK DR UNIT 2",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805175414",
            "telephone_number": "970-236-2535",
            "fax_number": "970-236-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "JODI",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0013320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estes Park, CO

Sources for this page

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