Individual provider Active NPI

Matthew Rodak, BA RRT

  • Pulmonary Diagnostics Registered Respiratory Therapist
  • Littleton, CO
National Provider Identifier
1013408426
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Diagnostics Registered Respiratory TherapistTaxonomy code 2279P1004X
License
RTL.0003296 Issued in CO
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

Updated by the provider on May 21, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RTL.0003296COMDGeriatric 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

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.

Verify at the official NPI Registry.