Jessica Rae Rodriguez, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-06966 Issued in KS

Practice address

721 Metropolitan Ave Ste C
Leavenworth, KS 66048-1403

Phone

(913) 250-5452

NPI assigned

Aug 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Rae Medeiros Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• More Than Words Speech and Feeding Therapy, LLC

  dba Mark Their Words Therapy Services

  • Speech-Language Pathologist
  • Clarksville, TN
  • NPI 1851635866
  NPD (past)

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1225582067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 6TH INFANTRY RD",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660271146",
            "telephone_number": "706-251-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 METROPOLITAN AVE STE C",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481403",
            "telephone_number": "913-250-5452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Dunbar Cave Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370438850",
            "country_code": "US",
            "telephone_number": "931-542-2739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MEDEIROS",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael C. Robinson, D.D.S.
• Richard Carmichael Robinson, M.D.
• Ross Michael Rocha, LAT, ATC
• Rock Care of Kansas, LLC
• Aaliyah Rodriguez
• Deborah Rogers
• Elizabeth Rogers
• Ryan Rogers, PHARMD
• Bridgette Rooney
• Jenny M Rosinski, PH.D.

• Physical Therapist in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.