Individual provider Active NPI

Norja Norvette Rodman, PT

  • Physical Therapist
  • La Mesa, CA
National Provider Identifier
1841275930
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 16867 Issued in CA
Practice address
3745 Avocado Blvd
La Mesa, CA 91941-7301
Phone
(800) 976-7544
Fax
(877) 298-4204
NPI assigned
Dec 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 16867 CA Primary

Addresses

Primary practice location

3745 Avocado Blvd
La Mesa, CA 91941-7301

Mailing address

3745 Avocado Blvd
La Mesa, CA 91941-7301
Phone (800) 976-7544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050718000889 CA Practitioner - Physical Therapist in Private Practice 4789611120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

Practice addresses (Care Compare)

8790 Cuyamaca St
Suite a
Santee, CA 92071-4295
Phone (619) 596-5969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 16867CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Jun 21, 2021 Accepting new patients
Complete Care Physical Therapy Physical Therapist CurrentSince Jun 21, 2021 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Jun 21, 2021 Accepting new patients

Locations

180 Otay Lakes Rd
Ste 105
Bonita, CA 91902
Phone (619) 475-6910

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

910 Hale Pl
Ste 115
Chula Vista, CA 91914
Phone (619) 369-2667

865 Third Ave
Ste 105
Chula Vista, CA 91911
Phone (619) 500-8044

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

3745 Avocado Blvd
La Mesa, CA 91941
Phone (619) 485-8071

2240 E Plaza Blvd
Ste Be
National City, CA 91950
Phone (619) 474-5916

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

8790 Cuyamaca St
Ste A
Santee, CA 92071
Phone (619) 596-5969

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1841275930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 AVOCADO BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919417301",
            "telephone_number": "800-976-7544",
            "fax_number": "877-298-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 AVOCADO BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919417301",
            "telephone_number": "800-976-7544",
            "fax_number": "877-298-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODMAN",
        "first_name": "NORJA",
        "middle_name": "NORVETTE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-12",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 16867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.