Active NPI
Odalys Gonzalez-Rodriguez, MSPT
- Physical Therapist
- Lebanon, PA
National Provider Identifier
1437414505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1420
- Practice address
- 1700 S Lincoln Ave.
Lebanon Vmac BLDG 102 Room 120
Lebanon, PA 17042 - Phone
- (717) 272-6621
- NPI assigned
- Jul 5, 2012
- Last updated
- Jul 5, 2012
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 1420 | PR | Primary |
Addresses
Primary practice location
1700 S Lincoln Ave.
Lebanon Vmac BLDG 102 Room 120
Lebanon, PA 17042
Mailing address
903 W Fairway Dr
Apt. C
Lancaster, PA 17603-5937
Phone (787) 455-5280
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1437414505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 W FAIRWAY DR",
"address_2": "APT. C",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176035937",
"telephone_number": "787-455-5280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S LINCOLN AVE.",
"address_2": "LEBANON VMAC BLDG 102 ROOM 120",
"city": "LEBANON",
"state": "PA",
"postal_code": "17042",
"telephone_number": "717-272-6621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ-RODRIGUEZ",
"first_name": "ODALYS",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-05",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "1420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, PA
- Pamela L Gochenauer, LCSW
- Theresa M Gogets, RD
- Caren C Goldberg, CRNP
- Isaac Jacob Goldenberg
- Jenna Nicole Gombeda, MS, RD, LDN
- Norma Iris Gonzalez, MSW, LSW. CFBT
- Good Samaritan Hospital
- Good Samaritan Pediatrics 503 Oak Street
- Good Samaritan Physician Service
- Good Samaritan Physician Services (WellSpan Vascular Surgery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.