Krystle Rodriguez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

10532A Issued in AZ

Practice address

8008 S Jesse Owens Pkwy
Phoenix, AZ 85042-6516

Phone

(602) 243-2780

NPI assigned

Oct 17, 2019

Sex

Female

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

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": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1114560588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 E WINDSONG DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480123",
            "telephone_number": "480-512-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 S JESSE OWENS PKWY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426516",
            "telephone_number": "602-243-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KRYSTLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "10532A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Marie Rodriguez, MD
• Kevin A Rodriguez, M.D.
• Kimberly Rodriguez
• Kimberly Rodriguez
• Kira Lynn Rodriguez
• Lindsey Ann Rodriguez, FNP-C
• Lizette Rodriguez, ATC
• Lori A Rodriguez, NP
• Luis Alan Rodriguez, PA-C
• Mary V Rodriguez, MSW, LCSW

• Physical Therapy Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.