Active NPI
Adrianna Rodriguez
- Speech-Language Pathologist
- Vienna, VA
National Provider Identifier
1508573981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2204000867
- Practice address
- 8221 Old Courthouse Rd Ste 105
Vienna, VA 22182-3839 - Phone
- (732) 570-9775
- NPI assigned
- Nov 3, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 02454L | MD | |
| Speech-Language Pathologist | 235Z00000X | 2204000867 | VA | Primary |
Addresses
Primary practice location
8221 Old Courthouse Rd Ste 105
Vienna, VA 22182-3839
Mailing address
1305 S Walter Reed Dr Apt 201
Arlington, VA 22204-4931
Phone (732) 570-9775
Other practice location 1
5272 River Rd Ste 100
Bethesda, MD 20816-1454
Phone (301) 718-1716
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02454L | MD | MD | Speech-Language Pathologist |
| 2204000867 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Studio | Speech-Language Pathologist | Current | Accepting new patients |
Locations
8221 Old Courthouse Rd
Ste 105
Vienna, VA 22182
Phone (703) 663-4808
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": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1508573981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 S WALTER REED DR APT 201",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222044931",
"telephone_number": "732-570-9775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8221 OLD COURTHOUSE RD STE 105",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823839",
"telephone_number": "732-570-9775"
}
],
"practiceLocations": [
{
"address_1": "5272 River Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208161454",
"country_code": "US",
"telephone_number": "301-718-1716",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ADRIANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "02454L",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2204000867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.