Active NPI
Ralph Anthony Rodriguez, P.T.
- Physical Therapist
- Keller, TX
National Provider Identifier
1184810335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1174430
- Practice address
- 4120 Heritage Trace Parkway
Suite 220
Keller, TX 76248 - Phone
- (817) 741-7585
- Fax
- (817) 741-7587
- NPI assigned
- Sep 21, 2007
- Last updated
- Jan 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1174430 | TX | Primary |
Addresses
Primary practice location
4120 Heritage Trace Parkway
Suite 220
Keller, TX 76248
Mailing address
4120 Heritage Trace Pkwy
Suite 220
Keller, TX 76248-1308
Phone (817) 741-7585
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1174430 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sathya P. Bhandari, M.D. P.a. | Past | Accepting new patients | |
| Performance Orthopaedics & Sports Medicine, P.a. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1043569130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232064000000",
"number": "1184810335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4120 HERITAGE TRACE PKWY",
"address_2": "SUITE 220",
"city": "KELLER",
"state": "TX",
"postal_code": "762481308",
"telephone_number": "817-741-7585",
"fax_number": "817-741-7587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4120 HERITAGE TRACE PARKWAY",
"address_2": "SUITE 220",
"city": "KELLER",
"state": "TX",
"postal_code": "76248",
"telephone_number": "817-741-7585",
"fax_number": "817-741-7587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "RALPH",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-21",
"last_updated": "2009-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1174430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.