Active NPI
Adrian Jeremy Rodriguez, PTA
- Physical Therapy Assistant
- Humble, TX
National Provider Identifier
1417830753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2187824
- Practice address
- 9250 Humble Westfield Rd
Humble, TX 77338-4247 - Phone
- (281) 446-5160
- NPI assigned
- Jul 25, 2025
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2187824 | TX | Primary |
Addresses
Primary practice location
9250 Humble Westfield Rd
Humble, TX 77338-4247
Mailing address
6106 Riverchase TRL
Kingwood, TX 77345-2133
Phone (832) 492-7517
Other practice location 1
19424 McKay Dr
Humble, TX 77338-5706
Phone (281) 319-4060
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2187824 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1417830753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6106 RIVERCHASE TRL",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773452133",
"telephone_number": "832-492-7517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9250 HUMBLE WESTFIELD RD",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773384247",
"telephone_number": "281-446-5160"
}
],
"practiceLocations": [
{
"address_1": "19424 McKay Dr",
"address_purpose": "LOCATION",
"city": "Humble",
"state": "TX",
"postal_code": "773385706",
"country_code": "US",
"telephone_number": "281-319-4060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ADRIAN",
"middle_name": "JEREMY",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-25",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2187824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.