Nolan Rodriguez, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4713 Onondaga Blvd.
Suite 100
Syracuse, NY 13219

Phone

(315) 469-5400

Fax

(315) 469-5724

NPI assigned

Mar 19, 2007

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Morgan Physical Therapy PLLCGroup PAC ID 4284709031, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Morgan Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Cicero, NY
  • NPI 1548457310

  NY

  Medicare reassignment Care Compare group NPD
• Mauro-Bertolo Therapy SVCS PTPC

  • Physical Therapist
  • Cicero, NY
  • NPI 1962494930
  NPD
• Camillus Physical Therapy and Sports Rehabilitation

  • Physical Therapist
  • Camillus, NY
  • NPI 1457461006
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104941491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 STEVENS PL",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132103609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4713 ONONDAGA BLVD.",
            "address_2": "SUITE 100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13219",
            "telephone_number": "315-469-5400",
            "fax_number": "315-469-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "NOLAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Rodriguez, MS, FNP-C
• James E Rodriguez VI, MD
• Kimberly Rodriguez
• Marjane Veazey Rodriguez, LMSW
• Morgan Rodriguez, RN
• Victor Noel Rodriguez, RPA-C
• Yudelka Rodriguez
• Brittany Marie Roe, OTR/L
• Kathleen Mary Roesch
• Jessica Rogala, LPN

• Physical Therapist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Physical Therapist in New York

• 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.
• 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.