Individual provider Active NPI

Alexzander Rodriguez, PT, DPT

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1861110793
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302655 Issued in CA
Practice address
6155 Almaden Expy Ste 150
San Jose, CA 95120-2781
Phone
(408) 268-2225
NPI assigned
Aug 17, 2022
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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 302655 CA Primary

Addresses

Primary practice location

6155 Almaden Expy Ste 150
San Jose, CA 95120-2781

Mailing address

320 Endmoor CT
San Jose, CA 95119-1712

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220928002936 CA Practitioner - Physical Therapist in Private Practice 7214313238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1045 E Brokaw Rd
San Jose, CA 95131-2310
Phone (669) 842-4989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard P Carr Physical Therapy Inc Physical Therapist CurrentSince May 1, 2023 Accepting new patients
B.E.S.T. Physical Therapy, a Prof Corp Physical Therapist CurrentSince Aug 15, 2022 Accepting new patients
Richard P Carr Physical Therapy Inc Physical Therapist CurrentSince May 1, 2023 Accepting new patients

Locations

500 E Calaveras Blvd
Ste 112
Milpitas, CA 95035
Phone (408) 934-4700

605 Tennant Ave
Ste F
Morgan Hill, CA 95037
Phone (408) 778-3434

1045 E Brokaw Rd
San Jose, CA 95131
Phone (669) 842-4989

1194 S De Anza Blvd
San Jose, CA 95129
Phone (408) 257-2222

3097 Moorpark Ave
Ste 100
San Jose, CA 95128
Phone (408) 247-1169

6155 Almaden Expy
Ste 150
San Jose, CA 95120
Phone (408) 268-2225

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1861110793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ENDMOOR CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 ALMADEN EXPY STE 150",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202781",
            "telephone_number": "408-268-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ALEXZANDER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.