Active NPI
Jennifer Romanowicz, DPT
- Physical Therapist
- Issaquah, WA
National Provider Identifier
1821324286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305207766
- Practice address
- 2525 NE Park Dr
Suite C
Issaquah, WA 98029-2642 - Phone
- (425) 686-7654
- Fax
- (425) 341-9041
- NPI assigned
- Oct 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT02256 | RI | |
| Physical Therapist | 225100000X | 2305207766 | VA | Primary |
Addresses
Primary practice location
2525 NE Park Dr
Suite C
Issaquah, WA 98029-2642
Mailing address
4220 132ND St SE
Suite 101
Mill Creek, WA 98012-8999
Phone (425) 357-9380
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0367920 | Other | WA | L & I |
| 0367976 | Other | WA | L & I |
| 0363889 | Other | WA | L & I |
| 0367978 | Other | WA | L & I |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1821324286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4220 132ND ST SE",
"address_2": "SUITE 101",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980128999",
"telephone_number": "425-357-9380",
"fax_number": "425-357-9382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 NE PARK DR",
"address_2": "SUITE C",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980292642",
"telephone_number": "425-686-7654",
"fax_number": "425-341-9041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMANOWICZ",
"first_name": "JENNIFER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-20",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT02256",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305207766",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0367920",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0367976",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0363889",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0367978",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.