Idalmis Rodriguez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA27570 Issued in FL

Practice address

211 Lawn Way
Miami Springs, FL 33166-5142

Phone

(786) 216-8326

NPI assigned

Jul 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1043862337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 LAWN WAY",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665142",
            "telephone_number": "786-216-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 LAWN WAY",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665142",
            "telephone_number": "786-216-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "IDALMIS",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA27570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "COMPUTER",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "211 Lawn Way",
            "city": "Miami Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331665142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Annalie De la Caridad Rodriguez Munoz, CM
• Miriam Rodriguez Orozco
• Melissa M Rodriguez Ruiz
• Maria A Rodriguez-Cejas, D.M.D.
• Frances Joan Rodriguez
• Janelle Rodriguez
• Liudy Rodriguez
• Luis Rodriguez, D.D.S.
• Madelayne Rodriguez, MS
• Mario P Rodriguez

• Physical Therapy Assistant in Miami Springs, FL
• Providers in Miami Springs, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.