Johnny Rodriguez, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

208798 Issued in TX

Practice address

1002 W Sam Houston Blvd Ste 7
Pharr, TX 78577-5198

Phone

(956) 601-2274

Fax

(956) 601-2275

NPI assigned

Dec 1, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Life Span Rehabilitation Center, LLC

  • Rehabilitation Clinic/Center
  • Alamo, TX
  • NPI 1467503151
  NPD Authorized official

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1114522893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1900",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785991900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W SAM HOUSTON BLVD STE 7",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775198",
            "telephone_number": "956-601-2274",
            "fax_number": "956-601-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOHNNY",
        "name_prefix": "Mr.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "208798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrodriguez@mylifespanrehab.com",
            "affiliation": "N",
            "address_1": "1200 E Business 83",
            "city": "San Juan",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785894758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denisse Adriana Rodriguez Leos, COTA
• Alyza Rodriguez
• Dinorha Nennette Rodriguez, RN
• Elizabeth Rodriguez, COTA
• Ileana Elizabeth Rodriguez, LPC, NCC
• Maria de Jesus Rodriguez, DDS
• Myra Rodriguez, COTA
• Patricia Rodriguez, OTR
• Rebecca Rodriguez
• Sunset Rodriguez

• Occupational Therapy Assistant in Pharr, TX
• Providers in Pharr, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.