Active NPI
Teresa Rodriguez, OTR
- Occupational Therapist
- Georgetown, TX
National Provider Identifier
1497133375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 102797
- Practice address
- 5353 Williams Dr
Suite 100
Georgetown, TX 78633-2044 - Phone
- (512) 819-5000
- NPI assigned
- May 12, 2015
- Last updated
- Jul 22, 2019
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 102797 | TX | Primary |
Addresses
Primary practice location
5353 Williams Dr
Suite 100
Georgetown, TX 78633-2044
Mailing address
PO Box 844658
Dallas, TX 75284-4658
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102797 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1497133375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 WILLIAMS DR",
"address_2": "SUITE 100",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786332044",
"telephone_number": "512-819-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "TERESA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-12",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "102797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
- Rockdale Blackhawk LLC (Little River Healthcare Georgetown Imaging)
- Rocky Hollow Cabins, LLC (Rocky Hollow Lake House)
- Tiara Joy Rodgers, CPM
- Rodriguez Dental Services PLLC
- Michelle Evette Rodriguez, LMFT
- Jermaine Caballes Pinzon Rogalski
- Roger Taylor Management (Chiropractic Center of Georgetown)
- Jennifer Alyene Rogers, MD
- Sabine H Rogers
- Michele Romagus, L.M.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.