Individual provider Active NPI

Monica Rodriguez Bruesewitz, PT

  • Physical Therapist
  • Reno, NV
National Provider Identifier
1851369268
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0794 Issued in NV
Practice address
10318 Bronze Wood CT
Reno, NV 89521-5154
Phone
(775) 240-1386
NPI assigned
Mar 10, 2006
Last updated
Dec 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0794 NV Primary
Physical Therapist 225100000X 5158 MN

Addresses

Primary practice location

10318 Bronze Wood CT
Reno, NV 89521-5154

Mailing address

10318 Bronze Wood CT
Reno, NV 89521
Phone (775) 851-4039

Other identifiers 1

IdentifierTypeStateIssuer
5158OtherMNPHYSICAL THERAPY LICENSE

Other names 1

  • Monica Nancy Rodriguez Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5158MNMDPhysical Therapist
0794NVMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1851369268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10318 BRONZE WOOD CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89521",
            "telephone_number": "775-851-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10318 BRONZE WOOD CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215154",
            "telephone_number": "775-240-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUESEWITZ",
        "first_name": "MONICA",
        "middle_name": "RODRIGUEZ",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "0794",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "5158",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "5158",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "RODRIGUEZ",
            "middle_name": "NANCY",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.