Active NPI
Christopher Salvado Romero, OTR
- Occupational Therapist
- Fort Wayne, IN
National Provider Identifier
1922206747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31004125A
- Practice address
- 2827 Northgate Blvd
Fort Wayne, IN 46835-2903 - Phone
- (260) 492-1498
- Fax
- (260) 492-1674
- NPI assigned
- Jul 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31004125A | IN | Primary |
Addresses
Primary practice location
2827 Northgate Blvd
Fort Wayne, IN 46835-2903
Mailing address
214 Fox Orchard Run
Fort Wayne, IN 46825
Phone (260) 479-5646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1555-656 | Medicaid | IN |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31004125A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922206747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 FOX ORCHARD RUN",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46825",
"telephone_number": "260-479-5646",
"fax_number": "260-492-1674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2827 NORTHGATE BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468352903",
"telephone_number": "260-492-1498",
"fax_number": "260-492-1674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERO",
"first_name": "CHRISTOPHER",
"middle_name": "SALVADO",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31004125A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1555-656",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.