Active NPI
Romil Pineda
- Physical Therapist
- Roanoke, VA
National Provider Identifier
1992117923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305006637
- Practice address
- 4805 Greenlee Rd SW
Roanoke, VA 24018-1755 - Phone
- (540) 355-6883
- NPI assigned
- May 26, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305006637 | VA | Primary |
Addresses
Primary practice location
4805 Greenlee Rd SW
Roanoke, VA 24018-1755
Mailing address
4805 Greenlee Rd SW
Roanoke, VA 24018-1755
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 |
|---|---|---|---|
| 2305006637 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401062400000",
"number": "1992117923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4805 GREENLEE RD SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240181755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4805 GREENLEE RD SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240181755",
"telephone_number": "540-355-6883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINEDA",
"first_name": "ROMIL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-26",
"last_updated": "2014-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305006637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
- Leilani Adviento Pilar, M.D.
- Nathanael Pilar
- Sadie Margaret Pilgreen, PA
- Ariana Pineda, COTA, PTA
- Michole M Pineda, MD
- Ramon Antonio Pineyro Poueriet, M.D.
- Adam Pink, DDS
- Pinnacle Treatment Services of Roanoke, LLC
- Pinnacle Treatment Services of Roanoke, LLC
- Pinnacle Treatment Services of Roanoke, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.