Individual provider Active NPI

Brenda Lee Orta Rodriguez, RPT

  • Geriatric Physical Therapist
  • Rio Piedras, PR
National Provider Identifier
1508034935
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
1132 Issued in PR
Practice address
1056 Calle Ferrocarril
Rio Piedras, PR 00925-3028
Phone
(787) 764-8937
NPI assigned
Feb 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 1132 PR Primary

Addresses

Primary practice location

1056 Calle Ferrocarril
Rio Piedras, PR 00925-3028

Mailing address

1056 Calle Ferrocarril
Suite # 1
Rio Piedras, PR 00925-3028
Phone (787) 217-5523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080505000508 PR Practitioner - Physical Therapist in Private Practice 7416036272 Practice locations: Rio Piedras, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1132PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Policlinica Rio Piedras 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1508034935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 CALLE FERROCARRIL",
            "address_2": "SUITE # 1",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009253028",
            "telephone_number": "787-217-5523",
            "fax_number": "787-287-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 CALLE FERROCARRIL",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009253028",
            "telephone_number": "787-764-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTA RODRIGUEZ",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "PR",
            "license": "1132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.