Individual provider Active NPI

Starrla K Rodriguez, PT

  • Physical Therapist
  • Corpus Christi, TX
National Provider Identifier
1386661981
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1127157 Issued in TX
Practice address
4918 Holly Ste. B
Corpus Christi, TX 78411
Phone
(361) 723-0079
Fax
(361) 814-7009
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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 1127157 TX Primary

Addresses

Primary practice location

4918 Holly Ste. B
Corpus Christi, TX 78411

Mailing address

PO Box 8150
Corpus Christi, TX 78468-8150
Phone (361) 723-0079

Other names 1

  • Starrla K Simmons Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061003000114 TX Practitioner - Physical Therapist in Private Practice 1759386451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Therapy First LLCGroup PAC ID 5991880734, 3 clinicians

Practice addresses (Care Compare)

2101 Airline Rd
Corpus Christi, TX 78414-2641
Phone (361) 993-4778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1127157TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Stride Physical Therapy & Rehabilitation Physical Therapist PastSince Mar 1, 2005 Accepting new patients
Therapy First L.L.C Physical Therapist PastSince Oct 10, 2021 Accepting new patients

Organizations & group practices 3

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1386661981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8150",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784688150",
            "telephone_number": "361-723-0079",
            "fax_number": "361-814-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4918 HOLLY STE. B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78411",
            "telephone_number": "361-723-0079",
            "fax_number": "361-814-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "STARRLA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1127157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STARRLA",
            "last_name": "SIMMONS",
            "middle_name": "K",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.