Deanna Rodriguez, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

302040 Issued in CA

Practice address

4250 Glencoe Ave Unit 1325
Marina del Rey, CA 90292-5685

Phone

(908) 377-1502

NPI assigned

May 25, 2022

Last updated

May 25, 2022By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: deanna.rodriguezpt.p1@direct.bpasten.nextgenshare.com

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1851039143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 GLENCOE AVE UNIT 1325",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925685",
            "telephone_number": "908-377-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 GLENCOE AVE UNIT 1325",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925685",
            "telephone_number": "908-377-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DEANNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert P. Waldman, M.D. a Professional Corporation
• Antoine Roberts, M.D.
• Susan Roberts
• Heleen Robins, M.D.
• Paul M Robinson, MD
• Jarid Rodriguez
• Jelsyn Rodriguez
• Elizabeth Rojas
• Rojeh Melikian, MD Inc
• Santelia Rose

• Physical Therapist in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.