Active NPI
Matthew Rodak, BA RRT
- Pulmonary Diagnostics Registered Respiratory Therapist
- Littleton, CO
National Provider Identifier
1013408426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Diagnostics Registered Respiratory Therapist
- License
- RTL.0003296
- Practice address
- 7823 Canvasback Cir
Littleton, CO 80125-8994 - Phone
- (720) 203-5869
- NPI assigned
- May 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Care Registered Respiratory Therapist | 2279G0305X | RTL.0003296 | CO | |
| SNF/Subacute Care Registered Respiratory Therapist | 2279S1500X | RTL.0003296 | CO | |
| Pulmonary Diagnostics Registered Respiratory Therapist | 2279P1004X | RTL.0003296 | CO | Primary |
Addresses
Primary practice location
7823 Canvasback Cir
Littleton, CO 80125-8994
Mailing address
7823 Canvasback Cir
Littleton, CO 80125-8994
Phone (720) 203-5869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RTL.0003296 | CO | MD | Geriatric Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1013408426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7823 CANVASBACK CIR",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801258994",
"telephone_number": "720-203-5869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7823 CANVASBACK CIR",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801258994",
"telephone_number": "720-203-5869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODAK",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "BA RRT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-21",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "2279G0305X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Geriatric Care",
"state": "CO",
"license": "RTL.0003296",
"primary": false
},
{
"code": "2279S1500X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, SNF/Subacute Care",
"state": "CO",
"license": "RTL.0003296",
"primary": false
},
{
"code": "2279P1004X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
"state": "CO",
"license": "RTL.0003296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, CO
- Rocky Mountain Spine & Sport Rehabilitation Studio
- Rocky Mountain Spine and Sport, LLC
- Rocky Mountain Surgical Support, Inc.
- Rocky Mountains Neurodiagnostics
- Rocky Moutain Mental Health P.C.
- Olivia Rodbard
- Danielle R. Rodman, DPT
- Murray R Rodnick, LCSW
- Richard A Rodriguez-Brizuela, DO
- Cassie Rodriguez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.