Active NPI
Jorge Rodriguez
- Massage Therapist
- Wyomissing, PA
National Provider Identifier
1205231024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MSG009432
- Practice address
- 855 N Park Rd
Apt C-303
Wyomissing, PA 19610-1308 - Phone
- (610) 685-1444
- Fax
- (610) 685-1441
- NPI assigned
- Oct 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MSG009432 | PA | Primary |
Addresses
Primary practice location
855 N Park Rd
Apt C-303
Wyomissing, PA 19610-1308
Mailing address
855 N Park Rd
Apt C-303
Wyomissing, PA 19610-1308
Phone (610) 685-1444
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
| License | State | Type | Specialty |
|---|---|---|---|
| MSG009432 | PA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1205231024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 N PARK RD",
"address_2": "APT C-303",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101308",
"telephone_number": "610-685-1444",
"fax_number": "610-685-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 N PARK RD",
"address_2": "APT C-303",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101308",
"telephone_number": "610-685-1444",
"fax_number": "610-685-1441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JORGE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-23",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG009432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.