Selene Prado Rodriguez, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

306727 Issued in CA

Practice address

555 Mowry Ave Ste E
Fremont, CA 94536-4101

Phone

(510) 745-7700

NPI assigned

Aug 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imotion Physical Therapy, IncGroup PAC ID 2163585209, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Imotion Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Fremont, CA
  • NPI 1588842421

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1548343510
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Omega Sports Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Los Gatos, CA
  • NPI 1770616161

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1528892601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 EL PUEBLO AVE",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945653952",
            "telephone_number": "925-848-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MOWRY AVE STE E",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364101",
            "telephone_number": "510-745-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADO RODRIGUEZ",
        "first_name": "SELENE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manju Prabadaran
• Priya Prakash Prabakar, R.D.
• Vanshika Prabhakar
• Varunesh Prabhu Chandhar
• Latha Dinesh Prabhu, RPH
• Paris Prasad
• Romita Prasad, DPT
• Sudeepthi H.B. Prasad, MD
• Sara Prasertsit
• Maria Preciado-Rodriguez, PMHNP

• Physical Therapist in Fremont, CA
• Providers in Fremont, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.