NPIMap

Individual provider Active NPI

Kayla Skye Rodriguez, DPT, PT

  • Physical Therapist
  • Sanford, FL
National Provider Identifier
1114715802
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT43141 Issued in FL
Practice address
1200 Lexington Green LN
Sanford, FL 32771-1013
Phone
(407) 322-3442
Fax
(407) 322-8404
NPI assigned
Apr 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 308732 CA
Physical Therapist 225100000X PT43141 FL Primary

Addresses

Primary practice location

1200 Lexington Green LN
Sanford, FL 32771-1013

Mailing address

100 E 2ND Ave Ste 210
Rome, GA 30161-1718
Phone (407) 322-3442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AK, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250912000242 CA Practitioner - Physical Therapist in Private Practice 2264935550 Reassigns benefits to 1 organization
I20251224002633 AK Practitioner - Physical Therapist in Private Practice 2264935550 Reassigns benefits to 1 organization
I20260511003356 DC Practitioner - Physical Therapist in Private Practice 2264935550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

11271 New Hampshire Ave
Ati Physical Therapy
Silver Spring, MD 20904-2631
Phone (240) 485-1280

1860 El Camino Real
Suite 201
Burlingame, CA 94010-3111
Phone (650) 259-8009

192 Halpine Rd
Suite D
Rockville, MD 20852-7645
Phone (240) 514-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
308732CAMDPhysical Therapist
PT43141FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Aug 21, 2025 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients
Select Cal Physical Therapy PC CurrentSince Aug 21, 2025 Accepting new patients
Wasilla Physical Therapy Inc. Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients

Locations

3750 E Country Field Cir
Ste A
Wasilla, AK 99654
Phone (907) 376-3774

1860 El Camino Real
Ste 201
Burlingame, CA 94010
Phone (650) 259-8009

268 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (650) 591-9581

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1114715802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 2ND AVE STE 210",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301611718",
            "telephone_number": "407-322-3442",
            "fax_number": "407-322-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LEXINGTON GREEN LN",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711013",
            "telephone_number": "407-322-3442",
            "fax_number": "407-322-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KAYLA",
        "middle_name": "SKYE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308732",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT43141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.