Ross Mathew Roden, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22271 Issued in FL

Practice address

109 Lake Davenport Blvd
Davenport, FL 33897-9405

Phone

(863) 256-5030

Fax

(863) 256-5531

NPI assigned

Nov 23, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Citrus Ridge Medical Centers, Inc

  • Multi-Specialty Clinic/Center
  • Davenport, FL
  • NPI 1356639017
  NPD (past)
• Four Corners Chiropractic Centers PA

  • Chiropractor
  • Clermont, FL
  • NPI 1619963147
  NPD (past)

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

{
    "created_epoch": "1353628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353628800000",
    "number": "1427392877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LAKE DAVENPORT BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338979405",
            "telephone_number": "863-256-5030",
            "fax_number": "863-256-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 LAKE DAVENPORT BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338979405",
            "telephone_number": "863-256-5030",
            "fax_number": "863-256-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEN",
        "first_name": "ROSS",
        "middle_name": "MATHEW",
        "name_prefix": "Mr.",
        "credential": "M.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-23",
        "last_updated": "2012-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariadna Rizo Gomez
• Ashly M Roberson, LMT
• Billisha Georjanna Robinson, APRN
• Latoya Robinson, ARNP
• Rock Medical Supply, Inc.
• Silvia Rodrigues
• Genesis Marie Rodriguez Contreras, APRN, FNP
• Aida D Rodriguez, RBT
• Alexander Rodriguez, M.D.
• Breeann Michelle Rodriguez, LCSW

• Physical Therapist in Davenport, FL
• Providers in Davenport, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2012; 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.