Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ray Jose Roman, DPT

Individual provider Physical Therapist · NPI 1831227156

Ray Jose Roman, DPT is a Physical Therapist in Private Practice in Costa Mesa, California. Qualified in 2006, 20 years ago. Practices with Prosport Physical Therapy Professionals Inc, a 94-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2007
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2777 Bristol St Ste B
Costa Mesa, CA 92626-5997
Phone: (949) 250-1112
Fax: (949) 250-1401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 33430 (CA)

Record details

NPI number1831227156
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 28, 2007
Last updated in NPPESFebruary 20, 2017
Mailing address2777 Bristol St, Ste B, Costa Mesa, CA 92626-5997

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Prosport Physical Therapy Professionals Inc — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Costa Mesa