Individual provider Active NPI

George Munoz Rodriguera, PT

  • Physical Therapist
  • Milford, DE
National Provider Identifier
1013172246
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
907 N Dupont Blvd Ste 104
Milford, DE 19963-1060
Phone
(302) 422-2518
NPI assigned
Jul 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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 Primary

Addresses

Primary practice location

907 N Dupont Blvd Ste 104
Milford, DE 19963-1060

Mailing address

907 N Dupont Blvd Ste 104
Milford, DE 19963-1060
Phone (302) 422-2518

Other practice location 1

189 May St
Worcester, MA 01602-4339
Phone (508) 791-6351

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111227000079 DE Practitioner - Physical Therapist in Private Practice 4789850678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Works de, LLCGroup PAC ID 4082095625, 2 clinicians

Practice addresses (Care Compare)

907 N Dupont Blvd
Suite 104
Milford, DE 19963-1060
Phone (302) 422-2518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Physical Therapy, LLC Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients
PT Works de, LLC Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Dynamic Therapy Services LLC Physical Therapist Past Accepting new patients

Locations

404 E Front St
Laurel, DE 19956
Phone (302) 280-6920

907 N DuPont Blvd
Ste 104
Milford, DE 19963
Phone (302) 422-2518

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": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1013172246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N DUPONT BLVD STE 104",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631060",
            "telephone_number": "302-422-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N DUPONT BLVD STE 104",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631060",
            "telephone_number": "302-422-2518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "189 May St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016024339",
            "country_code": "US",
            "telephone_number": "508-791-6351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUERA",
        "first_name": "GEORGE",
        "middle_name": "MUNOZ",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.