Active NPI
Lourdes Rodriguez, P.T.
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1831552231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1167053
- Practice address
- 5630 Cross Pond
San Antonio, TX 78249-3825 - Phone
- (210) 421-1495
- Fax
- (210) 265-3202
- NPI assigned
- Apr 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1167053 | TX | Primary |
| Cardiopulmonary Physical Therapist | 2251C2600X | 1167053 | TX | |
| Geriatric Physical Therapist | 2251G0304X | 1167053 | TX | |
| Neurology Physical Therapist | 2251N0400X | 1167053 | TX | |
| Orthopedic Physical Therapist | 2251X0800X | 1167053 | TX | |
| Physical Therapy Assistant | 225200000X | 1167053 | TX |
Addresses
Primary practice location
5630 Cross Pond
San Antonio, TX 78249-3825
Mailing address
PO Box 758
Helotes, TX 78023-0758
Phone (210) 421-1495
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 |
|---|---|---|---|
| 1167053 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1831552231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 758",
"city": "HELOTES",
"state": "TX",
"postal_code": "780230758",
"telephone_number": "210-421-1495",
"fax_number": "210-265-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5630 CROSS POND",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782493825",
"telephone_number": "210-421-1495",
"fax_number": "210-265-3202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "LOURDES",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-01",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1167053",
"primary": true
},
{
"code": "2251C2600X",
"taxonomy_group": "",
"desc": "Physical Therapist, Cardiopulmonary",
"state": "TX",
"license": "1167053",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "TX",
"license": "1167053",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "TX",
"license": "1167053",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1167053",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "1167053",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.