Natalie B Rodrigues, PT, DPT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01448200 Issued in NJ

Practice address

24-17 Fair Lawn Ave
Fair Lawn, NJ 07410-3429

Phone

(201) 794-4417

Fax

(201) 794-4419

NPI assigned

Jul 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Natalie Talia Baccile Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Columbia University College of Physicians and Surgeons, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Occupational and Physical Therapy, PLLCGroup PAC ID 3779873401, 497 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Sicklerville, NJ
  • NPI 1215487772

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Twin Boro Physical Therapy Associates PA

  dba Twin Boro Physical Therapy

  • Physical Therapist
  • Clark, NJ
  • NPI 1811937527
  Medicare reassignment NPD
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Randolph, NJ
  • NPI 1104376680

  Physical Therapist

  NPD
• Twin Boro Physical Therapy Associates, PA

  dba Twin Boro Physical Therapy

  • Occupational Therapist
  • Newark, NJ
  • NPI 1659874857
  NPD
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Whitestone, NY
  • NPI 1487104261

  Physical Therapist

  NPD

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1841545688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661014",
            "telephone_number": "732-855-9751",
            "fax_number": "732-855-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24-17 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103429",
            "telephone_number": "201-794-4417",
            "fax_number": "201-794-4419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Nardone Pl",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073063514",
            "country_code": "US",
            "telephone_number": "201-792-3840",
            "fax_number": "201-792-7948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUES",
        "first_name": "NATALIE",
        "middle_name": "B",
        "credential": "PT, DPT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA01448200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01448200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "BACCILE",
            "middle_name": "TALIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suzette Rizkalla, MD
• Robert Anthony Rizzo, M.D.
• Paula Roa
• Sheila V Robinson-Kiss, MSW
• Daniel B Rodis, DC
• Natalie Liana Rodriguez, LSW
• Yinauri Mavet Rodriguez
• Daniel Romaikin, PHARM.D.
• Roman Gont DC PC
• Alisha C Romano, OTR/L

• Physical Therapist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.