Rodolfo Villanueva

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070007943 Issued in IL

Practice address

408 S Warwick Ave
Westmont, IL 60559-2063

Phone

(630) 408-9947

NPI assigned

Dec 10, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Rod Villanueva Other name

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": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1093352957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S WARWICK AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592063",
            "telephone_number": "630-408-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S WARWICK AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592063",
            "telephone_number": "630-408-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "RODOLFO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070007943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROD",
            "last_name": "VILLANUEVA",
            "prefix": "MR.",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shelbi Vergauwen, OT
• Vanida Vesuntia, LMFT
• Rachel Villafuerte, SLP
• Village of Westmont (Westmont Fire Department)
• Nathalia Nichole Villalobos, RN
• Justine Lucille Viloria, PHARM.D.
• Samuel Vinci, D.P.M.
• Vitality 4U2 Chiropractic Care for the Whole Family, P.C.
• Jessica Lynn Vogt, FNP
• Manh Phi Vong, RPH

• Physical Therapist in Westmont, IL
• Providers in Westmont, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.