Individual provider Active NPI

Lynette Rios Rodriguez, RPT

  • Physical Therapist
  • Carolina, PR
National Provider Identifier
1164585873
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1279 Issued in PR
Practice address
4Es12 Avenida Fragoso
Villa Fontana
Carolina, PR 00983
Phone
(787) 276-7006
Fax
(787) 276-7030
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1279 PR Primary

Addresses

Primary practice location

4Es12 Avenida Fragoso
Villa Fontana
Carolina, PR 00983

Mailing address

Calle 5 Bloque C Numero 20
Estancias de San Fernando
Carolina, PR 00985
Phone (787) 637-4897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070130000497 PR Practitioner - Physical Therapist in Private Practice 3375544588 Reassigns benefits to 1 organization
Practice locations: Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Hearing Center IncGroup PAC ID 2769650274, 37 clinicians

Practice addresses (Care Compare)

Calle Garcia de la Naceda a
6 Villas de Rio Grande
Rio Grande, PR 00745
Phone (787) 809-4322

Sector Urb Rio Grande Hill
Carr Num 3
Rio Grande, PR 00745
Phone (787) 809-4233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1279PRMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Rehab LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Rehabilitacion Y Medicina Deportiva PastSince Jan 1, 2025 Accepting new patients

Locations

4ES12 Via Leticia
Carolina, PR 00983
Phone (787) 637-4897

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1164585873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 5 BLOQUE C NUMERO 20",
            "address_2": "ESTANCIAS DE SAN FERNANDO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-637-4897",
            "fax_number": "787-276-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4ES12 AVENIDA FRAGOSO",
            "address_2": "VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-276-7006",
            "fax_number": "787-276-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS RODRIGUEZ",
        "first_name": "LYNETTE",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.