DR. CHERISSE ROMAN (NPI# 1831533371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831533371 |
Entity Type | Individual |
Full Name | DR. CHERISSE ROMAN |
Credential | PT, DPT |
Practice Address |
195 Mattie M Kelly Blvd Destin FL 32541-2811 |
Mailing Address |
111 Beal Pkwy Nw Fort Walton Beach FL 32548-4333 |
Practice Telephone | 8506502423 |
Enumeration Date | 2013-04-26 |
Last Update Date | 2013-04-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT25538 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
195 MATTIE M KELLY BLVD |
City | DESTIN |
State | FL |
Zip Code | 32541-2811 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952357923 | Destin Health Care Associates LLC | Skilled Nursing Facility | 195 Mattie M Kelly Blvd, Destin, FL 32541-2811 | 2006-05-25 |
1740837020 | Sara Tolson | Speech-Language Pathologist | 195 Mattie M Kelly Blvd, Destin, FL 32541-2811 | 2019-08-21 |
1942862461 | Holly Louise Hanson X | Occupational Therapist | 195 Mattie M Kelly Blvd, Destin, FL 32541-2811 | 2019-07-04 |
1215495809 | Melissa Payne | Physical Therapist | 195 Mattie M Kelly Blvd, Destin, FL 32541-2811 | 2019-03-04 |
1174014989 | Amy Yeoman | Speech-Language Pathologist | 195 Mattie M Kelly Blvd, Destin, FL 32541-2811 | 2018-05-29 |
1497252183 | Lauren Murrill | Occupational Therapist | 195 Mattie M Kelly Blvd, Destin, FL 32541-2811 | 2018-04-09 |
1376069369 | Tiffany Thompson | Physical Therapy Assistant | 195 Mattie M Kelly Blvd, Destin, FL 32541 | 2017-08-21 |
1316469513 | Brittany Catherine Pickney | Occupational Therapist | 195 Mattie M Kelly Blvd, Destin, FL 32541-2811 | 2017-07-10 |
1790206456 | Hannah Lianne Douglas | Occupational Therapy Assistant | 195 Mattie M Kelly Blvd, Destin, FL 32541-2811 | 2017-07-03 |
1780056309 | Melinda Martin | Occupational Therapy Assistant | 195 Mattie M Kelly Blvd, Destin, FL 32541-2811 | 2015-10-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578020574 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | Sec of Hwy 98 and Gulf Shore Drive, Destin, FL 32541 | 2019-02-26 |
1932640471 | Kathryn Clower | Chiropractor | 36474c Emerald Coast Pkwy Ste 3101, Destin, FL 32541 | 2017-03-16 |
1881133148 | Danielle Mckinney | Physical Therapist | 35008 Emerald Coast Pkwy Ste 400, Destin, FL 32541 | 2017-02-20 |
1417304643 | Coastal Pediatric Group | Pediatrics | 36468 Emerald Coast Pkwy Unit 2101, Destin, FL 32541 | 2016-05-17 |
1336563956 | Blu By The Sea,llc | Clinic/Center | 3399 Scenic Highway 98, Destin, FL 32541 | 2014-02-18 |
1740539535 | Courtney Breaux Mcgee | Physician Assistant | 155 Crystal Beach Drive #121, Destin, FL 32541 | 2012-09-07 |
1073861704 | Nathan Hall Dmd Pl | Dentist | 4484 Legendary Dr, Suite B, Destin, FL 32541 | 2012-08-28 |
1982991121 | Bayshore Retreat, LLC | Substance Abuse Rehabilitation Facility | 457 Cahoun Ave, Destin, FL 32541 | 2011-07-08 |
1457661605 | Destin Surgery Clinic, P.a. | Specialist | 415 Mountain Drive, Suite # 6, Destin, FL 32541 | 2010-10-20 |
1194032581 | Laura Mathisen | Behavioral Analyst | 3820 Misty Way, Destin, FL 32541 | 2010-09-07 |
Find all providers in zip 32541 |
Taxonomy Code | 2251G0304X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Geriatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679107544 | Erin F Black | Physical Therapist | 2300 Bluff Oak Way Apt 5104, Tallahassee, FL 32311-6129 | 2020-02-28 |
1942851225 | Sara Walker | Physical Therapist | 213 S Dillard Street, Suite 320c, Winter Garden, FL 34787 | 2019-09-26 |
1235697574 | Promobility Care Physical Therapy LLC | Physical Therapist | 11204 58th Street Cir E, Parrish, FL 34219-4513 | 2019-03-05 |
1255821542 | Lacey Smith | Physical Therapist | 5429 Highlands Vista Cir, Lakeland, FL 33812-5216 | 2018-05-13 |
1770005720 | Leading Edge Rehabilitation LLC | Physical Therapist | 19348 Wind Dancer St, Lutz, FL 33558-9054 | 2017-07-12 |
1558896522 | Emily Routh | Physical Therapist | 6220 Willow Beck Ln Apt 203, Bradenton, FL 34202-5195 | 2017-04-26 |
1609312545 | Pamala Galloway Feehan | Physical Therapist | 7500 Monarch Ln, Fort Myers, FL 33912-2371 | 2017-01-17 |
1588106215 | Vincenzo Bombara | Physical Therapist | 6000 Nw 61st St, Parkland, FL 33067-4411 | 2016-11-11 |
1437519196 | Daniel Collins | Physical Therapist | 1616 Raincrow Dr, Saint Johns, FL 32259-9080 | 2016-02-24 |
1578928420 | Country Club Pt Pa | Physical Therapist | 1331 Whispering Ln, Venice, FL 34285-6449 | 2015-12-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.