Individual provider Active NPI

Roberto Torres Rodriguez, PT, DPT

  • Physical Therapist
  • Petaluma, CA
National Provider Identifier
1659241982
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
309115 Issued in CA
Practice address
1115 B St
Petaluma, CA 94952-4028
Phone
(707) 765-3030
NPI assigned
Nov 11, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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 309115 CA Primary

Addresses

Primary practice location

1115 B St
Petaluma, CA 94952-4028

Mailing address

1414 Russell Ave
Santa Rosa, CA 95403-9444
Phone (707) 541-8011

Other practice location 1

300 Cherry Creek Rd
Cloverdale, CA 95425-3811
Phone (707) 854-5201

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
309115CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1659241982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 RUSSELL AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954039444",
            "telephone_number": "707-541-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 B ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949524028",
            "telephone_number": "707-765-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Cherry Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Cloverdale",
            "state": "CA",
            "postal_code": "954253811",
            "country_code": "US",
            "telephone_number": "707-854-5201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES RODRIGUEZ",
        "first_name": "ROBERTO",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "309115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.