Active NPI
Eric Rodriguez, OTR
- Pediatric Occupational Therapist
- Palmhurst, TX
National Provider Identifier
1780135202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 116544
- Practice address
- 123 W Mile 3 Rd
Suite a-103
Palmhurst, TX 78573-1633 - Phone
- (956) 585-9889
- NPI assigned
- Oct 19, 2016
- Last updated
- Oct 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 116544 | TX | Primary |
Addresses
Primary practice location
123 W Mile 3 Rd
Suite a-103
Palmhurst, TX 78573-1633
Mailing address
13502 N 37TH LN
Edinburg, TX 78541-4465
Phone (956) 212-4312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116544 | TX | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1780135202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13502 N 37TH LN",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785414465",
"telephone_number": "956-212-4312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 W MILE 3 RD",
"address_2": "SUITE A-103",
"city": "PALMHURST",
"state": "TX",
"postal_code": "785731633",
"telephone_number": "956-585-9889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ERIC",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-19",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "116544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmhurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.