Individual provider Active NPI

Michelle C Rodriguez, MPT, OCS, CMPT

  • Orthopedic Physical Therapist
  • New York, NY
National Provider Identifier
1558412973
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
NY020309 Issued in NY
Practice address
130 W 56TH St
Suite 703
New York, NY 10019-3866
Phone
(973) 493-4074
Fax
(212) 247-5620
NPI assigned
Jan 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X NY020309 NY Primary

Addresses

Primary practice location

130 W 56TH St
Suite 703
New York, NY 10019-3866

Mailing address

130 W 56TH St FL 3
New York, NY 10019-3962
Phone (212) 247-8436

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
NY020309NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Rodriguez Physical Therapy PLLC Current Accepting new patients
Marika Molnar Physical Therapist PC PastSince Jan 13, 2003 Accepting new patients

Locations

130 W 56th St
Fl 3
New York, NY 10019
Phone (212) 247-8436

Organizations & group practices 2

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": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1558412973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W 56TH ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193962",
            "telephone_number": "212-247-8436",
            "fax_number": "212-247-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W 56TH ST",
            "address_2": "SUITE 703",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193866",
            "telephone_number": "973-493-4074",
            "fax_number": "212-247-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MICHELLE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MPT, OCS, CMPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "NY020309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.