Active NPI
Emmitt Enrique Rodriguez, DPT
- Physical Therapist
- Bedford, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1369764
- Practice address
- 1424 Airport Fwy Ste U
Bedford, TX 76022-6783 - Phone
- (817) 858-0390
- Fax
- (817) 858-0842
- NPI assigned
- Nov 11, 2022
- Last updated
- Nov 11, 2022
- Sex
- Male
- 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 | 1369764 | TX | Primary |
Addresses
Primary practice location
1424 Airport Fwy Ste U
Bedford, TX 76022-6783
Mailing address
1424 Airport Fwy Ste U
Bedford, TX 76022-6783
Phone (817) 858-0390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1369764 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Oaks Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Green Oaks Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Green Oaks Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Green Oaks Physical Therapy Limited Partnership | Past | Accepting new patients |
Locations
1424 Airport Fwy
Ste U
Bedford, TX 76022
Phone (817) 585-0390
350 Mercedes St
Benbrook, TX 76126
Phone (817) 335-7946
3824 S Carrier Pkwy
Ste 470
Grand Prairie, TX 75052
Phone (972) 262-9972
3824 S Carrier Pkwy
Ste 490
Grand Prairie, TX 75052
Phone (972) 262-9972
6116 Lake Worth Blvd
Ste 100
Lake Worth, TX 76135
Phone (817) 984-3260
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Waxahachie, TX
- NPI 1467881565
Physical Therapist
-
- Physical Therapist
- Carrollton, TX
- NPI 1114526969
-
- Physical Therapist
- Lake Worth, TX
- NPI 1457094534
-
dba Green Oaks Physical Therapy
- Rehabilitation Clinic/Center
- Bedford, TX
- NPI 1619993904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1700594371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 AIRPORT FWY STE U",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226783",
"telephone_number": "817-858-0390",
"fax_number": "817-858-0842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 AIRPORT FWY STE U",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226783",
"telephone_number": "817-858-0390",
"fax_number": "817-858-0842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "EMMITT",
"middle_name": "ENRIQUE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-11",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1369764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.