Blake A Romero

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2872 N Point Ridge Rd
Buckeye, AZ 85396-4512

Phone

(805) 479-7797

NPI assigned

Nov 8, 2021

Last updated

Nov 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehabauthority LLCGroup PAC ID 1355333931, 48 clinicians

Sawtooth Physical TherapyGroup PAC ID 1759552961, 22 clinicians

CSRM LLCGroup PAC ID 4789078312, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rehabauthority, LLC

  • Multi-Specialty Clinic/Center
  • Grand Forks, ND
  • NPI 1730159690

  ID, Physical Therapist

  Medicare reassignment Care Compare group NPD
• CSRM LLC

  dba Kestrel Therapy Group

  • Physical Therapist
  • Boise, ID
  • NPI 1669132353
  Medicare reassignment Care Compare group
• Sawtooth Physical Therapy

  • Physical Therapy Clinic/Center
  • Boise, ID
  • NPI 1013206002
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1841956471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2872 N POINT RIDGE RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853964512",
            "telephone_number": "805-479-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2872 N POINT RIDGE RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853964512",
            "telephone_number": "805-479-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "BLAKE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodtree West
• Yvonne Roehr, MS, RDN
• Timothy Rogers, M.A.,LMFT
• Joel Reed Rolfe, DMD
• Austin Rollins, DPM
• Martin Romero Sr., DMD
• Rosann Julie Romero
• Root Canal Specialists of Arizona PLLC
• Shawna Rosa, RD, CEDS
• Brenda Isabel Rosas, FNP

• Physical Therapist in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.