Active NPI
Benjamin John Rodrigue, O T R
- Occupational Therapist
- San Antonio, TX
National Provider Identifier
1336164557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 110687
- Practice address
- 415 Embassy Oaks Dr
Suite 202
San Antonio, TX 78216-2024 - Phone
- (210) 490-4738
- Fax
- (210) 490-5231
- NPI assigned
- Jul 12, 2006
- Last updated
- Nov 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 110687 | TX | Primary |
Addresses
Primary practice location
415 Embassy Oaks Dr
Suite 202
San Antonio, TX 78216-2024
Mailing address
415 Embassy Oaks Dr
Suite 202
San Antonio, TX 78216-2024
Phone (210) 490-4738
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193961600000",
"number": "1336164557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 EMBASSY OAKS DR",
"address_2": "SUITE 202",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782162024",
"telephone_number": "210-490-4738",
"fax_number": "210-490-5231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 EMBASSY OAKS DR",
"address_2": "SUITE 202",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782162024",
"telephone_number": "210-490-4738",
"fax_number": "210-490-5231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUE",
"first_name": "BENJAMIN",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "O T R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "110687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Rodney Rousset, M.a., LPC, P.a.
- Donna Regina Rodney, LCDC
- Rodolfo R. Ledesma (Ledesma Personal Care Home)
- Monica Isabel Rodrigo Apolinar, DDS
- Shashika Melani Rodrigo, MD
- Yesenia Rodriguex
- Maria Milagros Rodriguez Alvarado
- Laura Mercedes Rodriguez Davila, MD
- Monica Rodriguez Delgado
- Yainer Rodriguez Delgado, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.