Sergio A Rodriguez, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

119757 Issued in TX

Practice address

1020 Central Pkwy S
San Antonio, TX 78232-5021

Phone

(210) 789-2273

Fax

(210) 495-1479

NPI assigned

Feb 19, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Occupational Therapy Rehabilitation LLC

  • Pediatric Occupational Therapist
  • San Antonio, TX
  • NPI 1275232894

  Pediatrics

  NPD Authorized official
• Speech and Language Therapy Services, PLLC

  • Speech-Language Pathologist
  • San Antonio, TX
  • NPI 1861191488
  NPD

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1205392818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 CULEBRA RD STE 104-140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514949",
            "telephone_number": "210-538-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CENTRAL PKWY S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325021",
            "telephone_number": "210-789-2273",
            "fax_number": "210-495-1479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10650 Culebra Rd Ste 104-140",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514949",
            "country_code": "US",
            "telephone_number": "210-538-4401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SERGIO",
        "middle_name": "A",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-19",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "119757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "119757",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Elise Rodriguez
• Sarah Beth Rodriguez, LPC
• Sarah G Rodriguez, M.A. CCC/SLP
• Sarah Louise Rodriguez
• Sean Michael Rodriguez, MD
• Sergio Ricardo Rodriguez Jr., FNP
• Shariany Rodriguez
• Sonia Garza Rodriguez, MS, RD, CDCES,CEDS
• Stephanie Ann Rodriguez, MASSAGE THERAPIST
• Susana Rodriguez

• Pediatric Occupational Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.