Stephanie Christine Rodriguez, PT, DPT, ATC, LAT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT34610 Issued in FL

Practice address

3655 NW 107TH Ave Ste 107
Doral, FL 33178-4328

Phone

(786) 452-0774

NPI assigned

Jul 21, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pinecrest Wellness-Downtown, LLC

  • Physical Therapy Clinic/Center
  • Miami, FL
  • NPI 1629859681
  NPD (past)

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1649687765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 NW 107TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 NW 107TH AVE STE 107",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784328",
            "telephone_number": "786-452-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "STEPHANIE",
        "middle_name": "CHRISTINE",
        "credential": "PT, DPT, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 3906",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Maria Rodriguez
• Roxana Rodriguez, APRN-FNP
• Roxeling Rodriguez
• Ruben Rodriguez
• Sandra Liliana Rodriguez, BA
• Susan M. Rodriguez, M.S., LMHC
• Thaliana Cheyann Rodriguez
• Victor Rodriguez, DDS, CAGS
• Yaima Rodriguez
• Yensy Rodriguez

• Physical Therapist in Doral, FL
• Providers in Doral, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.