Active NPI
Divine Rodriguez, PT
- Physical Therapist
- Somerset, NJ
National Provider Identifier
1609961317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTQA00833900
- Practice address
- 1527 Route 27 Suite1100
Somerset, NJ 08873 - Phone
- (732) 545-7474
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTQA00833900 | NJ | Primary |
Addresses
Primary practice location
1527 Route 27 Suite1100
Somerset, NJ 08873
Mailing address
247 Hidden Woods CT
Piscataway, NJ 08854
Phone (201) 658-6426
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTQA00833900 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609961317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 HIDDEN WOODS CT",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "08854",
"telephone_number": "201-658-6426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1527 ROUTE 27 SUITE1100",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "08873",
"telephone_number": "732-545-7474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "DIVINE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "PTQA00833900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, NJ
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.