Luzberto Rodriguez

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06002840A Issued in IN

Practice address

101 W 87TH Ave
Merrillville, IN 46410-6177

Phone

(219) 756-0744

NPI assigned

Aug 21, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1467009746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 CAROLINA PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105629",
            "telephone_number": "219-689-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 87TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106177",
            "telephone_number": "219-756-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LUZBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160003862",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06002840A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "06002840A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "160003862",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Robles
• Evita Roby, MSW
• Olivia Rock
• Jacob Rodriguez, RBT
• Laura Rodriguez, APN
• Maria Rodriguez
• Vanessa M Rodriguez, PA
• Sonia Rojas, RBT
• Erin Rolland
• Jenna Marie Roller

• Physical Therapy Assistant in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.