Active NPI
Jonathan Louis Rodriguez, PT, DPT
- Physical Therapist
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4411 San Mateo Blvd NE Ste 11
Albuquerque, NM 87109-2011 - Phone
- (515) 217-3907
- Fax
- (505) 348-0063
- NPI assigned
- Sep 3, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0160837 | NY | |
| Physical Therapist | 225100000X | 40QA02053300 | NJ | |
| Physical Therapist | 225100000X | NM | Primary |
Addresses
Primary practice location
4411 San Mateo Blvd NE Ste 11
Albuquerque, NM 87109-2011
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other practice location 1
178 Lakeview Ave
Clifton, NJ 07011-4071
Phone (973) 998-8828
Other practice location 2
645 Bloomfield Ave
Verona, NJ 07044-1831
Phone (973) 944-2012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, NM
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4411 San Mateo Blvd NE
Suite E11
Albuquerque, NM 87109-2029
Phone (630) 296-2223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0160837 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Tawil Physical Therapy and Sports Performance, PA | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Core Physical Therapy Services PC | Physical Therapist | Current | Accepting new patients |
| New York Luna Care Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| New York Physical and Occupational Therapy Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Cem Physical Therapy & Rehabilitation | Physical Therapist | Current | Accepting new patients |
| Physical Therapy at Dawn, LLC | Physical Therapist | Current | Accepting new patients |
| Rise PT OT Speech Nutrition PLLC | Physical Therapist | Past | Accepting new patients |
Locations
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
178 Lakeview Ave
Clifton, NJ 07011
Phone (973) 998-8828
8701 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 552-9072
645 Bloomfield Ave
Verona, NJ 07044
Phone (973) 944-2012
4411 San Mateo Blvd NE
Ste 11
Albuquerque, NM 87109
Phone (505) 217-3907
6330 Riverside Plaza Ln NW
Albuquerque, NM 87120
Phone (505) 312-7930
2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600
2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925
123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248
576 Broadhollow Rd
Melville, NY 11747
121 Broadhollow Rd
Melville, NY 11747
Phone (631) 354-5600
1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063
2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610
Organizations & group practices 10
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.
-
- Physical Therapist
- Albuquerque, NM
- NPI 1780695551
-
- Physical Therapy Clinic/Center
- Clifton, NJ
- NPI 1619522349
Physical Therapist
-
- Physical Therapist
- Brooklyn, NY
- NPI 1184269755
-
- Physical Therapist
- Pearl River, NY
- NPI 1194314062
-
- Physical Therapist
- Brooklyn, NY
- NPI 1356703631
-
- Occupational Therapist
- Rockville Centre, NY
- NPI 1205296902
Physical Therapist
-
- Physical Therapist
- North Bergen, NJ
- NPI 1235474156
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
Physical Therapist
-
- Occupational Therapist
- Whitestone, NY
- NPI 1487104261
Physical Therapist
-
- Physical Therapist
- New York, NY
- NPI 1427949379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1215419593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 SAN MATEO BLVD NE STE 11",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871092011",
"telephone_number": "515-217-3907",
"fax_number": "505-348-0063"
}
],
"practiceLocations": [
{
"address_1": "178 Lakeview Ave",
"address_purpose": "LOCATION",
"city": "Clifton",
"state": "NJ",
"postal_code": "070114071",
"country_code": "US",
"telephone_number": "973-998-8828",
"fax_number": "973-998-8830",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "645 Bloomfield Ave",
"address_purpose": "LOCATION",
"city": "Verona",
"state": "NJ",
"postal_code": "070441831",
"country_code": "US",
"telephone_number": "973-944-2012",
"fax_number": "973-944-2014",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JONATHAN",
"middle_name": "LOUIS",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-03",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0160837",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02053300",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.