Individual provider Active NPI

Christine Rodriguez

  • Physical Therapist
  • Glen Allen, VA
National Provider Identifier
1730467655
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305205149 Issued in VA
Practice address
4194 Innslake Dr
Glen Allen, VA 23060-3344
Phone
(866) 203-4365
Fax
(804) 527-0281
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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 2305205149 VA Primary

Addresses

Primary practice location

4194 Innslake Dr
Glen Allen, VA 23060-3344

Mailing address

4194 Innslake Dr
Glen Allen, VA 23060-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260318002902 CA Practitioner - Physical Therapist in Private Practice 7810471885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Rutgers New Jersey Medical School, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2858 Mankas Blvd
Fairfield, CA 94534-3038

5800 Granite Pkwy
Suite 325
Plano, TX 75024-6500

PO Box
Suite 255228
Sacramento, CA 95865

PO Box
Suite 255228
Sacramento, CA 95865-5228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
308926CAMDRegistered Nurse
2305205149VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Senior Living LLC Physical Therapist CurrentSince Feb 23, 2026 Accepting new patients
Reliant Senior Living LLC Physical Therapist CurrentSince Feb 23, 2026 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1730467655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4194 INNSLAKE DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4194 INNSLAKE DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603344",
            "telephone_number": "866-203-4365",
            "fax_number": "804-527-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.