Active NPI
Rhodan Vignaud, PHYSICAL THERAPIST
- Physical Therapist
- Santa Rosa, CA
National Provider Identifier
1023278561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10194
- Practice address
- 3559 Round Barn Circle
Kaiser Permanente
Santa Rosa, CA 95403 - Phone
- (707) 571-3921
- NPI assigned
- Jun 9, 2008
- Last updated
- Jan 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT10194 | CA | Primary |
Addresses
Primary practice location
3559 Round Barn Circle
Kaiser Permanente
Santa Rosa, CA 95403
Mailing address
3559 Round Barn Circle
Kaiser Permanente
Santa Rosa, CA 95403
Phone (707) 571-3921
Other names 1
- Ms. Rhoda Gross
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT10194 | CA | MD | Physical Therapist |
| 10194 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1023278561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3559 ROUND BARN CIRCLE",
"address_2": "KAISER PERMANENTE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95403",
"telephone_number": "707-571-3921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3559 ROUND BARN CIRCLE",
"address_2": "KAISER PERMANENTE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95403",
"telephone_number": "707-571-3921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGNAUD",
"first_name": "RHODAN",
"name_prefix": "Ms.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT10194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RHODA",
"last_name": "GROSS",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.