Maria Ann Rodriguez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

220 Mystery House Rd
Davenport, FL 33837-9764

Phone

(863) 221-8018

NPI assigned

May 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1811488984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MYSTERY HOUSE RD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338379764",
            "telephone_number": "863-221-8018",
            "fax_number": "863-221-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MYSTERY HOUSE RD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338379764",
            "telephone_number": "863-221-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "PTA28210",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Rodriguez, M.D.
• Breeann Michelle Rodriguez, LCSW
• Jorge David Rodriguez, MD
• Karen Jocilyn Rodriguez, LMFT
• Liliana Rodriguez
• Rosmery Rodriguez, RMHCI
• Stephanie Irma Rodriguez
• Wendy Rodriguez, OTR/L
• Yaima Rodriguez
• Gina Denise Rojas

• Physical Therapy Assistant in Davenport, FL
• Providers in Davenport, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.