Individual provider Active NPI

Kristin Romeo

  • Orthopedic Physical Therapist
  • Hoboken, NJ
National Provider Identifier
1790177889
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA01911800 Issued in NJ
Practice address
464 Newark St Apt 2a
Hoboken, NJ 07030-8442
Phone
(631) 561-7531
NPI assigned
Feb 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 037916-1 NY
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 40QA01911800 NJ Primary

Addresses

Primary practice location

464 Newark St Apt 2a
Hoboken, NJ 07030-8442

Mailing address

464 Newark St Apt 2a
Hoboken, NJ 07030-8442
Phone (631) 561-7531

Other practice location 1

4 Cedar Swamp Rd
Glen Cove, NY 11542-3749
Phone (516) 671-6161

Other identifiers 1

IdentifierTypeStateIssuer
037916OtherSTATE LICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
037916-1NYMDPhysical Therapist
40QA01911800NJMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Sports Physical Therapy of Glen Cove PC Single Specialty PastSince Aug 23, 2001 Accepting new patients

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, 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": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1790177889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 NEWARK ST APT 2A",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070308442",
            "telephone_number": "631-561-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 NEWARK ST APT 2A",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070308442",
            "telephone_number": "631-561-7531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Cedar Swamp Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Cove",
            "state": "NY",
            "postal_code": "115423749",
            "country_code": "US",
            "telephone_number": "516-671-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMEO",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037916-1",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01911800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "037916",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.