Individual provider Active NPI

Jodi Sue Rodriguez, COTA

  • Occupational Therapy Assistant
  • Naugatuck, CT
National Provider Identifier
1356465892
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
000845 Issued in CT
Practice address
89 Weid Drive
Beacon Brook Health Center
Naugatuck, CT 06770
Phone
(203) 729-9889
Fax
(203) 720-4082
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 000845 CT Primary

Addresses

Primary practice location

89 Weid Drive
Beacon Brook Health Center
Naugatuck, CT 06770

Mailing address

89 Weid Drive
Beacon Brook Health Center
Naugatuck, CT 06770
Phone (203) 729-9889

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

LicenseStateTypeSpecialty
000845CTMDWomen's Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1356465892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 WEID DRIVE",
            "address_2": "BEACON BROOK HEALTH CENTER",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "06770",
            "telephone_number": "203-729-9889",
            "fax_number": "203-720-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 WEID DRIVE",
            "address_2": "BEACON BROOK HEALTH CENTER",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "06770",
            "telephone_number": "203-729-9889",
            "fax_number": "203-720-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JODI",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CT",
            "license": "000845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naugatuck, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.