Active NPI
Percy Rodriguez
- Physical Therapist
- San Gabriel, CA
National Provider Identifier
1265820898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 34539
- Practice address
- 817 Padilla St Apt E
San Gabriel, CA 91776-1088 - Phone
- (707) 529-3874
- NPI assigned
- Jan 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 34539 | CA | Primary |
| Physical Therapy Assistant | 225200000X | AT 5085 | CA |
Addresses
Primary practice location
817 Padilla St Apt E
San Gabriel, CA 91776-1088
Mailing address
817 Padilla St Apt E
San Gabriel, CA 91776-1088
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 |
|---|---|---|---|
| PT 34539 | CA | MD | Physical Therapist |
| AT 5085 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1265820898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 PADILLA ST APT E",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 PADILLA ST APT E",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761088",
"telephone_number": "707-529-3874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "PERCY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-05",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 34539",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT 5085",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.