Active NPI
Pedro Rodrigues, PT
- Physical Therapist
- Northampton, MA
National Provider Identifier
1245335272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- MA17300
- Practice address
- 17 New South St
Sullivan Square
Northampton, MA 01060-4073 - Phone
- (413) 582-0005
- NPI assigned
- Sep 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | MA17300 | MA | Primary |
Addresses
Primary practice location
17 New South St
Sullivan Square
Northampton, MA 01060-4073
Mailing address
14 Granby HTS
Granby, MA 01033-9722
Phone (416) 582-0005
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 |
|---|---|---|---|
| MA17300 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245335272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 GRANBY HTS",
"city": "GRANBY",
"state": "MA",
"postal_code": "010339722",
"telephone_number": "416-582-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 NEW SOUTH ST",
"address_2": "SULLIVAN SQUARE",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010604073",
"telephone_number": "413-582-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUES",
"first_name": "PEDRO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "MA17300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.