Active NPI
Sandra Ana Rodriguez, OTR/L
- Specialist
- Orange Park, FL
National Provider Identifier
1114251832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OT3193
- Practice address
- 570 Wells Rd
Orange Park, FL 32073-2999 - Phone
- (904) 579-2113
- NPI assigned
- Sep 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OT3193 | FL | Primary |
Addresses
Primary practice location
570 Wells Rd
Orange Park, FL 32073-2999
Mailing address
570 Wells Rd
Orange Park, FL 32073-2999
Phone (904) 579-2113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT3193 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flexrehab Services, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Weston, FL
- NPI 1467558353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254096000000",
"number": "1114251832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 WELLS RD",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320732999",
"telephone_number": "904-579-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 WELLS RD",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320732999",
"telephone_number": "904-579-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "SANDRA",
"middle_name": "ANA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-28",
"last_updated": "2009-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "OT3193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.