Individual provider Active NPI

Karla Rodriguez

  • Physical Therapist
  • Niagara Falls, NY
National Provider Identifier
1003433855
Registry record updated Jun 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044720-01 Issued in NY
Practice address
2600 Niagara Falls Blvd
Niagara Falls, NY 14304-4560
Phone
(716) 215-8000
NPI assigned
Jun 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2020

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 044720-01 NY Primary

Addresses

Primary practice location

2600 Niagara Falls Blvd
Niagara Falls, NY 14304-4560

Mailing address

149 Swan St Unit 205
Buffalo, NY 14203-2624

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krodriguez@elderwood.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210817001904 NY Practitioner - Physical Therapist in Private Practice 7416352216 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044720NYMDGeneral Practice Dentistry
044720-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stern at Home Physical Therapy PC Physical Therapist CurrentSince Feb 10, 2022 Accepting new patients
Buffalo Rehab Group Physical Therapy and Occupational Therapy PC Physical Therapist CurrentSince Apr 19, 2021 Accepting new patients
D'Youville College Physical Therapist CurrentSince Apr 5, 2022 Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

301 Connecticut St
#202
Buffalo, NY 14213
Phone (716) 923-4617

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

2100 Union Rd
West Seneca, NY 14224
Phone (716) 656-8600

150 Tech Dr
Williamsville, NY 14221
Phone (716) 276-8300

Organizations & group practices 3

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": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593302400000",
    "number": "1003433855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 SWAN ST UNIT 205",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142032624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NIAGARA FALLS BLVD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044560",
            "telephone_number": "716-215-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KARLA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-28",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044720-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krodriguez@elderwood.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2600 Niagara Falls Blvd",
            "city": "Niagara Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "143044560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.