Romano Gastali
Individual provider Active NPI Physical Therapist · Avoca, IA
NPI 1851078752 · NPPES record last updated Jul 3, 2023
Key facts
- NPI
- 1851078752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4495 (NE)
- Practice address
- 610 E York Rd
Avoca, IA 51521-2052 - Phone
- (712) 343-6398
- NPI assigned
- Jul 3, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP022194T | IA | MD | Physical Therapist |
| CP022539T | MO | MD | Physical Therapist |
| 4495 | NE | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP022194T | IA | |
| Physical Therapist | 225100000X | 4495 | NE | Yes |
| Physical Therapist | 225100000X | CP022539T | MO |
Addresses
Primary practice location
610 E York Rd
Avoca, IA 51521-2052
Mailing address
4222 N 163Rd Ave
Omaha, NE 68116-2919
Phone (402) 753-7230
Other providers in Avoca, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.