Jamie Renee Rodell, PTA, DPT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2145778 Issued in TX

Practice address

5917 Broadway
San Antonio, TX 78209-5235

Phone

(210) 253-3450

NPI assigned

Mar 8, 2023

Sex

Female

Sole proprietor

Yes

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

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": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1780384537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13814 CANE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782334476",
            "telephone_number": "210-721-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 BROADWAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095235",
            "telephone_number": "210-253-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODELL",
        "first_name": "JAMIE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PTA, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2145778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bertha Elia Rodarte, PH.D.
• Fabian Vicente Rodas Ochoa, MD
• Lawrence Roddick, D.C.
• Rosalynda Rodea, MDS, RD, LD, CCTD
• Charles Rodela, MD
• Itzel Rodelo
• Lauren Roden
• Roderick C. Haff, MD, PA
• Abigail Nicholle Rodgers, DO
• Ericka Nadeska Rodgers

• Physical Therapy Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.