Active NPI
Brenda Lee Orta Rodriguez, RPT
- Geriatric Physical Therapist
- Rio Piedras, PR
National Provider Identifier
1508034935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 1132
- 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
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1132 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Physician
- San Juan, PR
- NPI 1841280534
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.