David Rodriguez

Primary specialty

Human Factors Physical TherapistTaxonomy code 2251H1300X

License

10312-024 Issued in WI

Practice address

2531 Kenora Pkwy
Eau Claire, WI 54703-6249

Phone

(715) 495-0165

NPI assigned

May 9, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• David Rodriguez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1578730495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 KENORA PKWY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547036249",
            "telephone_number": "715-495-0165",
            "fax_number": "877-532-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 KENORA PKWY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547036249",
            "telephone_number": "715-495-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "WI",
            "license": "10312-024",
            "primary": false
        },
        {
            "code": "2251H1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Human Factors",
            "state": "WI",
            "license": "10312-024",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10312-024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "RODRIGUEZ",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shannon Paul Robinson, LPC,LCSW
• Abby Caroline Robrecht
• Jennifer Rock
• Benjamin Rockwell, ATC
• Ashley M Rodencal
• Miranda Rodriguez
• Paula Jean Rodriguez, HIS
• Tylar Barron Roe
• Geoffrey Joseph Roelant, M.D.
• Heather Hilda Roen, M.S, LPC, CSAC

• Physical Therapist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.