Provider Demographics
NPI:1336568997
Name:ROMPRE, KATIE (PT, DPT)
Entity Type:Individual
Prefix:MS
First Name:KATIE
Middle Name:
Last Name:ROMPRE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:DARDENNE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT,DPT
Mailing Address - Street 1:6037 HARRIS PKWY
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-4103
Mailing Address - Country:US
Mailing Address - Phone:817-370-9891
Mailing Address - Fax:817-370-9894
Practice Address - Street 1:534 OLD HOWELL RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-2051
Practice Address - Country:US
Practice Address - Phone:864-244-3626
Practice Address - Fax:864-244-6923
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-10
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1238927225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX192079501Medicaid
TX192079501Medicaid