Tasha Marie Rodriguez, PT ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2006005751 Issued in MO

Practice address

4460 S Noland Rd
Independence, MO 64055-4743

Phone

(816) 373-2845

Fax

(816) 373-2842

NPI assigned

May 10, 2007

Last updated

Nov 21, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arc Physical Therapy Plus LPGroup PAC ID 6204050453, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tasha.rodriguez.p2@direct.athleticoltd.nextgenshare.com

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.

• Arc Physical Therapy Plus LP

  • Physical Therapist
  • Overland Park, KS
  • NPI 1851715353

  MO

  Medicare reassignment Care Compare group
• Athletico LTD

  dba Athletico Physical Therapy

  • Physical Therapist
  • Liberty, MO
  • NPI 1114449857
  Medicare reassignment NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1740495282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219297",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641219297",
            "telephone_number": "816-373-2845",
            "fax_number": "816-373-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 S NOLAND RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640554743",
            "telephone_number": "816-373-2845",
            "fax_number": "816-373-2842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Congress Dr.",
            "address_purpose": "LOCATION",
            "city": "Sullivan",
            "state": "MO",
            "postal_code": "63080",
            "country_code": "US",
            "telephone_number": "573-860-5901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 Hospital Dr",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "MO",
            "postal_code": "655369217",
            "country_code": "US",
            "telephone_number": "417-533-6315",
            "fax_number": "417-533-6320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "TASHA",
        "middle_name": "MARIE",
        "credential": "PT ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2005004129",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2006005751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Marie Robinson
• Ramzee Robinson, PLPC
• Raneshia Robinson, NP-C
• Mia J Rockwell, MA, PLPC
• Alehanny Rodriguez Checa
• Valerie Dawn Rodriguez, LSCSW
• Glen Roe
• Adam W Roeser, DPT
• Robert Deforrest Roggenbach, M.S.W.
• Riley C Roling, PLMFT

• Physical Therapist in Independence, MO
• Providers in Independence, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.