Mauricio A Rodriguez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

005788-01 Issued in NY

Practice address

8582 Eliot Ave Apt 1B
Rego Park, NY 11374-1079

Phone

(646) 643-5624

NPI assigned

Apr 7, 2009

Last updated

Apr 7, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1023251063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8582 ELIOT AVE APT 1B",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741079",
            "telephone_number": "646-643-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8582 ELIOT AVE APT 1B",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741079",
            "telephone_number": "646-643-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MAURICIO",
        "middle_name": "A",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "005788-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverview Medical Care, P.C.
• Elisha Ro, PHARM.D
• Robert Malakov Physician, P.C
• Magalie Rodney
• Janice Rodriguez, CCC-SLP
• Maximo Tiukinhoy Rodriguez III, RPT
• Michelle Rodriguez, LCSW
• Milagros Rodriguez, LMSW
• Shuang Rodriguez
• Reia Rodwell

• Physical Therapy Assistant in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.