Sydney Lauren Rodriguez, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-05719 Issued in KS

Practice address

2300 N Tyler Rd
Wichita, KS 67205-8766

Phone

(316) 448-2389

NPI assigned

Aug 26, 2020

Last updated

Aug 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sydney Lauren Busse Former 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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1679186910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 N HAZELWOOD LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122930",
            "telephone_number": "785-734-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N TYLER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672058766",
            "telephone_number": "316-448-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SYDNEY",
        "middle_name": "LAUREN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "BUSSE",
            "middle_name": "LAUREN",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Naujelisse Rodriguez
• Paola Rodriguez
• Paul L Rodriguez, MD
• Shaunda Marie Rodriguez, D.O.
• Stacey Lynn Rodriguez, LSCSW
• Tarah Rodriguez, LPN
• Miriam Rodriquez, MA
• Heather Leanne Roe, DO
• Vicki L Roe, CRNA
• Alisha Roemer, MA CCC-SLP

• Physical Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.