Individual provider Active NPI

Rodrigo D. Rodriguez, PT,DPT,CWS,WCC

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1003151077
Registry record updated Mar 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6842 Issued in CO
Practice address
1573 S Catawba Cir
Aurora, CO 80018-6012
Phone
(720) 473-9791
NPI assigned
Dec 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6842 CO Primary

Addresses

Primary practice location

1573 S Catawba Cir
Aurora, CO 80018-6012

Mailing address

1573 S Catawba Cir
Aurora, CO 80018-6012
Phone (720) 473-9791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150416000489 CO Practitioner - Physical Therapist in Private Practice 5193043420 Practice locations: Aurora, CO
I20180606000231 CO Practitioner - Physical Therapist in Private Practice 5193043420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Denver Physical Therapy at HomeGroup PAC ID 9234494766, 16 clinicians

Practice addresses (Care Compare)

Aurora, CO 80018
Phone (720) 473-9791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6842COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Physical Therapy at Home Physical Therapist CurrentSince Mar 26, 2018 Accepting new patients
Rodrigo D. Rodriguez CurrentSince Jul 5, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427500800000",
    "number": "1003151077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 S CATAWBA CIR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800186012",
            "telephone_number": "720-473-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 S CATAWBA CIR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800186012",
            "telephone_number": "720-473-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RODRIGO",
        "middle_name": "D.",
        "credential": "PT,DPT,CWS,WCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-03",
        "last_updated": "2015-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.