Individual provider Active NPI

Alex Rodriguez, MOT, OTR/L

  • Occupational Therapist
  • Hampton, VA
National Provider Identifier
1093603797
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119010942 Issued in VA
Practice address
901 Enterprise Pkwy
Hampton, VA 23666-6249
Phone
(757) 827-2480
NPI assigned
Jun 24, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119010942 VA Primary

Addresses

Primary practice location

901 Enterprise Pkwy
Hampton, VA 23666-6249

Mailing address

2105 Everton LN
Virginia Beach, VA 23456-1567
Phone (908) 887-1893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250714000271 VA Practitioner - Occupational Therapist in Private Practice 3173038825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Orthopaedic Associates Inc.Group PAC ID 2466345814, 26 clinicians

Practice addresses (Care Compare)

901 Enterprise Pkwy
Suite 900
Hampton, VA 23666-6250
Phone (757) 827-2480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Orthopaedic Associates Inc Occupational Therapist CurrentSince Jun 25, 2025 Accepting new patients
Tidewater Orthopaedic Associates Inc CurrentSince Jun 25, 2025 Accepting new patients
Tidewater Orthopaedic Associates Occupational Therapy Occupational Therapist Past Accepting new patients
Hampton Roads Otolaryngology Associates PLLC PastSince Jun 29, 2025 Accepting new patients

Locations

901 Enterprise Pkwy
Hampton, VA 23666
Phone (757) 827-2480

901 Enterprise Pkwy
Ste 900
Hampton, VA 23666
Phone (757) 827-2480

4037 Ironbound Rd
Williamsburg, VA 23188
Phone (757) 206-1004

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCCHBA/Endpoint/BCCHBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCCHBA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1093603797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 EVERTON LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561567",
            "telephone_number": "908-887-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ENTERPRISE PKWY",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666249",
            "telephone_number": "757-827-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ALEX",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119010942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.