Lisa Ann Rodriques, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

000394 Issued in CT

Practice address

45 Meriden Ave
Southington, CT 06489-3214

Phone

(860) 378-1234

Fax

(860) 378-1160

NPI assigned

Mar 29, 2007

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

Other identifiers 2

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073633749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 FOXCROFT CT",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064894341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MERIDEN AVE",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893214",
            "telephone_number": "860-378-1234",
            "fax_number": "860-378-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIQUES",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "000394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11244279",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "130000394CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alysia Rodriguez, LCSW
• Elaine Rodriguez
• Eleonore Roesch, MD
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• Desiree Marie Rossitto, COTA
• Crisla B Rulewicz, OT
• Rumbo Al Bienestar LLC

• Occupational Therapist in Southington, CT
• Providers in Southington, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.