Individual provider Active NPI

Yesenia Rodriguez, PT, DPT

  • Physical Therapist
  • Sacramento, CA
National Provider Identifier
1306503545
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301356 Issued in CA
Practice address
708 57TH St
Sacramento, CA 95819-3325
Phone
(916) 457-7427
NPI assigned
Nov 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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 301356 CA Primary

Addresses

Primary practice location

708 57TH St
Sacramento, CA 95819-3325

Mailing address

625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395

Other identifiers 1

IdentifierTypeStateIssuer
301356OtherCAPHYSICAL THERAPY LICENSE

Other names 1

  • Yesenia Rodriguez Shifflett Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.alvesmartinez.com/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220209002074 CA Practitioner - Physical Therapist in Private Practice 2961895271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports and Orthopedic Leaders Physical Therapy IncGroup PAC ID 0446146708, 42 clinicians

Practice addresses (Care Compare)

708 57TH St
Sacramento, CA 95819-3325
Phone (916) 457-7427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alves & Martinez Physical Therapy and Athletic Performance Physical Therapist CurrentSince Jan 3, 2022 Accepting new patients
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist CurrentSince Jun 9, 2025 Accepting new patients

Locations

9381 E Stockton Blvd
Ste 108
Elk Grove, CA 95624
Phone (916) 686-5070

4341 Piedmont Ave
Ste 103
Oakland, CA 94611
Phone (510) 547-1630

708 57th St
Sacramento, CA 95819
Phone (916) 457-7171

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": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1306503545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 57TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193325",
            "telephone_number": "916-457-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "YESENIA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "301356",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.alvesmartinez.com/",
            "affiliation": "N",
            "address_1": "708 57th St",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958193325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "YESENIA",
            "last_name": "RODRIGUEZ SHIFFLETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.