Individual provider Active NPI

Rowena Rodriguez Pamplona, P.T.

  • Physical Therapist
  • Seaford, DE
National Provider Identifier
1548466550
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-1836 Issued in DE
Practice address
1100 Norman Eskridge Hwy
Seaford, DE 19973-1724
Phone
(302) 629-3575
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-1836 DE Primary

Addresses

Primary practice location

1100 Norman Eskridge Hwy
Seaford, DE 19973-1724

Mailing address

10335 Strawberry Pointe Street
Delmar, DE 19940
Phone (302) 280-6277

Other names 1

  • Miss Rowena Retiza Rodriguez Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150416000175 DE Practitioner - Physical Therapist in Private Practice 3173583408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeside Physical Therapy, LLCGroup PAC ID 1658426093, 5 clinicians

Practice addresses (Care Compare)

24488 Sussex Hwy
Suite 2
Seaford, DE 19973-8470
Phone (302) 990-5544

Merit-based Incentive Payment System (MIPS)

Final score
71.74 of 100Reported as individual
Quality
51.55
Improvement activities
40
Cost
70.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-1836DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Physical Therapy, LLC Physical Therapist CurrentSince Jan 1, 2015 Accepting new patients

Locations

404 E Front St
Laurel, DE 19956
Phone (302) 280-6920

24488 Sussex Hwy
Seaford, DE 19973
Phone (302) 990-5544

24488 Sussex Hwy
Ste 2
Seaford, DE 19973
Phone (302) 629-5766

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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548466550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10335 STRAWBERRY POINTE STREET",
            "city": "DELMAR",
            "state": "DE",
            "postal_code": "19940",
            "telephone_number": "302-280-6277",
            "fax_number": "302-280-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NORMAN ESKRIDGE HWY",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199731724",
            "telephone_number": "302-629-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMPLONA",
        "first_name": "ROWENA",
        "middle_name": "RODRIGUEZ",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-1836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROWENA",
            "last_name": "RODRIGUEZ",
            "middle_name": "RETIZA",
            "prefix": "MISS",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seaford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.