MEDICARE: DR. LEON C ROMERO PT, DSC, OCS, ECS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT008390	GA
2	2251E1300X	Clinical Electrophysiology Physical Therapist	PT008390	GA
3	2251X0800X	Orthopedic Physical Therapist	PT008390	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144499146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEON C ROMERO PT, DSC, OCS, ECS

Provider Business Mailing Address
First Line	:	PO BOX 1566
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-1566
Country	:	US
Telephone Number	:	678-753-4364
Fax Number	:	678-736-4329

Provider Business Practice Location Address
First Line	:	2336 WISTERIA DR STE 420
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-6160
Country	:	US
Telephone Number	:	678-753-4364
Fax Number	:	678-736-4329

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2008
Last Update Date	:	01/19/2026

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Directions to “ DR. LEON C ROMERO PT, DSC, OCS, ECS” Practice Location

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