Josue Rodriguez-Hernandez

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

A03072 Issued in MD

Practice address

22593 Three Notch Rd
California, MD 20619-3202

Phone

(301) 862-2505

Fax

(301) 862-2548

NPI assigned

Dec 23, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1730577859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4989 NORTH 3RD STREET",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820729548",
            "telephone_number": "307-745-8997",
            "fax_number": "307-742-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22593 THREE NOTCH RD",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206193202",
            "telephone_number": "301-862-2505",
            "fax_number": "301-862-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-HERNANDEZ",
        "first_name": "JOSUE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-23",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MD",
            "license": "A03072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COTA",
            "identifier": "A03072",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrodriguez-hernandez@ptherapy.net",
            "affiliation": "N",
            "address_1": "22593 Three Notch Rd",
            "city": "California",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206193202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kalana Riley
• Nichole Marie Riley, FNP-C
• Kamryn Ring, BCBA
• Jessica Roach
• Jaydee Jacob Robles, DACM, L.AC.
• Starlene Ronkainen
• Meagan Ross
• Phyllis A Rumore-Farris, NP
• Amy L Saber, LAC
• Allison Salvo

• Occupational Therapy Assistant in California, MD
• Providers in California, MD by specialty
• Occupational Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.