Samuel Robert Rodriguez, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16725-24 Issued in WI

Practice address

4861 S 27TH St
Greenfield, WI 53221-2603

Phone

(414) 325-3325

NPI assigned

May 31, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletic and Therapeutic Institute of Milwaukee, LLCGroup PAC ID 2062469190, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Physical Therapist
  • Pewaukee, WI
  • NPI 1801907464
  Medicare reassignment Care Compare group NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Physical Therapist
  • Kenosha, WI
  • NPI 1306037163
  NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Durable Medical Equipment & Medical Supplies
  • Sheboygan, WI
  • NPI 1558956722

  Physical Therapist

  NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Physical Therapist
  • Greenfield, WI
  • NPI 1174611313
  NPD (past)

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1801636303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 S 27TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212603",
            "telephone_number": "414-325-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SAMUEL",
        "middle_name": "ROBERT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16725-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Roche
• Lisa Rochester, PTA
• Jennifer Jeanette Rodewald
• Jeffrey A Rodrigues, PT, DPT
• Molly Rodriguez, PT
• Hallie J Rogers
• Shalay Rogers, MS
• Stacy S Rohleder
• Megan E Roidt, DPT
• Cole Rojas

• Physical Therapist in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.