Individual provider Active NPI

Gabriela Rodriguez

  • Physical Therapist
  • Peekskill, NY
National Provider Identifier
1235822339
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
050477 Issued in NY
Practice address
939 Central Ave
Peekskill, NY 10566-2008
Phone
(914) 488-5763
NPI assigned
Jun 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 050477 NY Primary

Addresses

Primary practice location

939 Central Ave
Peekskill, NY 10566-2008

Mailing address

939 Central Ave
Peekskill, NY 10566-2008
Phone (914) 488-5763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230818002551 NY Practitioner - Physical Therapist in Private Practice 3971965104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11826 SW 102ND St
Miami, FL 33186-2735

7 Watch Hill Rd
Pleasantville, NY 10571-2534

939 Central Ave
Peekskill, NY 10566-2008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050477NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingston Physical Therapy and Sports Rehab PC Physical Therapist CurrentSince Dec 18, 2025 Accepting new patients
Kingston Physical-Occupational Therapy & Sports Rehab PLLC Physical Therapist CurrentSince Dec 18, 2025 Accepting new patients

Locations

340 Plaza Rd
Kingston, NY 12401
Phone (845) 339-4139

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1235822339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 CENTRAL AVE",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662008",
            "telephone_number": "914-488-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 CENTRAL AVE",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662008",
            "telephone_number": "914-488-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GABRIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peekskill, NY

Sources for this page

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

Verify at the official NPI Registry.