Individual provider Active NPI

Alyssa Rodriguez, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1497252514
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1280946 Issued in TX
Practice address
10100 Katy Fwy Ste 170
Houston, TX 77043-5268
Phone
(832) 795-9175
Fax
(832) 602-2650
NPI assigned
Apr 6, 2018
Last updated
Jul 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1280946 TX Primary

Addresses

Primary practice location

10100 Katy Fwy Ste 170
Houston, TX 77043-5268

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Other practice location 1

8475 Highway 6 N Ste K
Houston, TX 77095-2049
Phone (281) 507-2619

Other practice location 2

6455 S Fry Rd Ste 101
Katy, TX 77494-8322
Phone (281) 731-8112

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

LicenseStateTypeSpecialty
1280946TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilias USA, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1497252514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 KATY FWY STE 170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770435268",
            "telephone_number": "832-795-9175",
            "fax_number": "832-602-2650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8475 Highway 6 N Ste K",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770952049",
            "country_code": "US",
            "telephone_number": "281-507-2619",
            "fax_number": "281-407-3606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6455 S Fry Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774948322",
            "country_code": "US",
            "telephone_number": "281-731-8112",
            "fax_number": "281-547-7278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ALYSSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1280946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.