Individual provider Active NPI

Yasmin Kassandra Rodriguez, PTA

  • Physical Therapy Assistant
  • Laredo, TX
National Provider Identifier
1174137145
Registry record updated Sep 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2131787 Issued in TX
Practice address
3414 Sheffield St
Laredo, TX 78043-1960
Phone
(210) 849-4837
NPI assigned
Sep 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2131787 TX Primary

Addresses

Primary practice location

3414 Sheffield St
Laredo, TX 78043-1960

Mailing address

3414 Sheffield St
Laredo, TX 78043-1960
Phone (210) 849-4837

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Patricia@mercyrehabservices.com Direct
Direct Messaging Address patricia@mercyrehabservices.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2131787TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599436800000",
    "number": "1174137145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 SHEFFIELD ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780431960",
            "telephone_number": "210-849-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 SHEFFIELD ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780431960",
            "telephone_number": "210-849-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "YASMIN",
        "middle_name": "KASSANDRA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2131787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Patricia@mercyrehabservices.com",
            "affiliation": "N",
            "endpointDescription": "Outpatient Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Laredo",
            "address_1": "3507 Jaime Zapata Hwy",
            "address_2": "Suite 7",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patricia@mercyrehabservices.com",
            "affiliation": "N",
            "endpointDescription": "Outpatient Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Laredo",
            "address_1": "3507 Jamie Zapata Hwy",
            "address_2": "Suite 7",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; 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.