Juan Neftali Rodriguez Paz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A4387 Issued in MD

Practice address

3311 Toledo Ter Ste A1
Hyattsville, MD 20782-4136

Phone

(301) 853-0093

Fax

(301) 853-0096

NPI assigned

Nov 4, 2016

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": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1083156236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14205 PARK CENTER DR",
            "address_2": "SUITE 204",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075246",
            "telephone_number": "301-853-0093",
            "fax_number": "301-853-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 TOLEDO TER STE A1",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207824136",
            "telephone_number": "301-853-0093",
            "fax_number": "301-853-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ PAZ",
        "first_name": "JUAN",
        "middle_name": "NEFTALI",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A4387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorenzo Roberts
• Latanya Robinson, LCSW
• Yvonna Roderick
• Adrienne Roberta Rodgers
• Naomy J. Rodrigues, LCPC
• Alexandria Rodriguez, OTR/L
• Lorraine Rodriguez, DDS
• Susana Rodriguez
• Gladys E Rogers
• Janet Rogers

• Physical Therapy Assistant in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.