Healthcare Provider Details

I. General information

NPI: 1295652295
Provider Name (Legal Business Name): MELISSA ROMERO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9351 GRANT ST STE 430
THORNTON CO
80229-4365
US

IV. Provider business mailing address

1302 CLINTON AVE
BERWYN IL
60402-1230
US

V. Phone/Fax

Practice location:
  • Phone: 303-222-4312
  • Fax:
Mailing address:
  • Phone: 773-556-5153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number0015826
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: