Georgy Rodriguez

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

64007 Issued in FL

Practice address

4954 Pimlico CT
West Palm Beach, FL 33415-9116

Phone

(786) 768-0533

NPI assigned

Apr 10, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Georgy Rodriguez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• GRL Therapy & Rehabilitation Corp

  • Physical Therapy Clinic/Center
  • West Palm Beach, FL
  • NPI 1184982126
  NPD (past) Authorized official

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1508122961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 PIMLICO CT",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334159116",
            "telephone_number": "786-768-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4954 PIMLICO CT",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334159116",
            "telephone_number": "786-768-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GEORGY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "64007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGY",
            "last_name": "RODRIGUEZ",
            "prefix": "MR.",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Emily Elizabeth Rodriguez, RN
• Eric O Rodriguez, MS
• Fabiola Rodriguez, APRN
• Frances Rodriguez, MD
• Frank Rodriguez, M.D.
• Giovanna Edith Rodriguez
• Heidi Rodriguez
• Hugo Guillermo Rodriguez
• Jennifer Rachel Rodriguez
• Jonier R Rodriguez, M.D.

• Massage Therapist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.