Active NPI
Janette Matias Rodriguez
- Developmental Therapist
- Miami, FL
National Provider Identifier
1477044246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 8785 SW 165TH Ave Ste 101
Miami, FL 33193-5827 - Phone
- (305) 388-8009
- NPI assigned
- May 28, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
8785 SW 165TH Ave Ste 101
Miami, FL 33193-5827
Mailing address
343 W 44TH St
Hialeah, FL 33012-3922
Phone (305) 326-2945
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222Q00000X | Other | FL | DEVELOPMENT TERAPIST |
| 222Q00000X | Medicaid | FL |
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": "1527465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667088000000",
"number": "1477044246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 W 44TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123922",
"telephone_number": "305-326-2945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8785 SW 165TH AVE STE 101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331935827",
"telephone_number": "305-388-8009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATIAS RODRIGUEZ",
"first_name": "JANETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-28",
"last_updated": "2022-10-30",
"certification_date": "2022-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEVELOPMENT TERAPIST",
"identifier": "222Q00000X",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "222Q00000X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.