Individual provider Active NPI

Evaristo Rodriguez, PHYSICAL THERAPIST

  • Specialist
  • Coral Gables, FL
National Provider Identifier
1336344795
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT4837 Issued in FL
Practice address
5200 SW 8TH St Ste 202
Coral Gables, FL 33134-2384
Phone
(786) 901-1236
NPI assigned
Jun 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT4837 FL Primary

Addresses

Primary practice location

5200 SW 8TH St Ste 202
Coral Gables, FL 33134-2384

Mailing address

1250 Lincoln Rd Apt 408
Miami Beach, FL 33139-2254
Phone (305) 496-3349

Other practice location 1

300 W 41st St
Suite 205
Miami Beach, FL 33140-3637
Phone (305) 672-0614

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

State licenses

LicenseStateTypeSpecialty
PT4837FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander M. Matz, R.P.T., P.a. Past Accepting new patients
Alexander M. Matz P.a. PastSince Dec 1, 2019 Accepting new patients

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": "1182038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1336344795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 LINCOLN RD APT 408",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392254",
            "telephone_number": "305-496-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 SW 8TH ST STE 202",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342384",
            "telephone_number": "786-901-1236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W 41st St",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331403637",
            "country_code": "US",
            "telephone_number": "305-672-0614",
            "fax_number": "305-672-0918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EVARISTO",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-17",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT4837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.