Michael Tom Izar Rodrigo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 27174 Issued in FL

Practice address

2494 Royalann LN
Eugene, OR 97405-9237

Phone

(541) 905-7016

NPI assigned

Feb 16, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Rodrigo Physical Therapy and Wellness LLC

  • Physical Therapist
  • Eugene, OR
  • NPI 1669152310
  NPD Authorized official
• Medpro Healthcare Staffing

  • Rehabilitation Hospital
  • Sunrise, FL
  • NPI 1922342021
  NPD (past)

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1477826717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2494 ROYALANN LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974059237",
            "telephone_number": "541-905-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2494 ROYALANN LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974059237",
            "telephone_number": "541-905-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGO",
        "first_name": "MICHAEL TOM",
        "middle_name": "IZAR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-16",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6764",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 27174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Schaffer MD PC
• Bridgett Mary Rodolf
• Jill Fae Gage Rodolf, RN
• Timothy James Rodolf
• Rodrigo Physical Therapy and Wellness LLC
• Lindsey Elizabeth Rodrigues, PTA
• Kyle Rodriguez Hudson, LPC
• Ignacio Sifgrido Rodriguez Lopez, LMT
• Alicia Rodriguez
• Billie Jo Rodriguez

• Physical Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.