Individual provider Active NPI

Dennis John Roman, PT

  • Physical Therapist
  • Farmington, CT
National Provider Identifier
1942391081
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008874 Issued in CT
Practice address
4 Farm Springs Rd
Farmington, CT 06032-2573
Phone
(860) 284-5213
Fax
(860) 284-5333
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 008874 CT Primary

Addresses

Primary practice location

4 Farm Springs Rd
Farmington, CT 06032-2573

Mailing address

127 Saint James St
West Hartford, CT 06119-2341
Phone (860) 308-6336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101000513 CT Practitioner - Physical Therapist in Private Practice 1759331572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Connecticut School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ptsma IncGroup PAC ID 7911800180, 173 clinicians
Madison Rehabilitation Center IncGroup PAC ID 8628051299, 6 clinicians

Practice addresses (Care Compare)

1231 Farmington Ave
Berlin, CT 06037-2301
Phone (860) 827-1333

719 Silas Deane Hwy
Wethersfield, CT 06109-3058
Phone (860) 257-7473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8874CTMDProfessional Counselor
21246MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ptsma Inc CurrentSince Oct 26, 2022 Accepting new patients
Ptsma, Inc. Physical Therapist CurrentSince Oct 26, 2022 Accepting new patients
Ptsma, Inc. Physical Therapist Current Accepting new patients
Madison Rehabilitation Center Inc Physical Therapist CurrentSince Jul 2, 2024 Accepting new patients
Maryland Sportscare & Rehab LLC Past Accepting new patients
Prohealth Physicians PC Physical Therapist PastSince Jun 24, 2019 Accepting new patients

Locations

1231 Farmington Ave
Berlin, CT 06037
Phone (860) 827-1333

37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919

719 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 257-7473

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1942391081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 SAINT JAMES ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192341",
            "telephone_number": "860-308-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FARM SPRINGS RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322573",
            "telephone_number": "860-284-5213",
            "fax_number": "860-284-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "DENNIS",
        "middle_name": "JOHN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.