Pedro Rodriguez Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3380 Issued in OK

Practice address

526 SW 4TH St Ste 200
Moore, OK 73160-5409

Phone

(405) 759-2700

Fax

(405) 759-2722

NPI assigned

Jan 18, 2022

Last updated

Jan 18, 2022By the provider in NPPES

Sex

Male

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

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.

• Cutting Edge Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Moore, OK
  • NPI 1508272006
  NPD
• Cutting Edge Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Yukon, OK
  • NPI 1205352028
  NPD (past)

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1861143117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 SW 4TH ST STE 200",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605409",
            "telephone_number": "405-759-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 SW 4TH ST STE 200",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605409",
            "telephone_number": "405-759-2700",
            "fax_number": "405-759-2722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1805 Commons Cir Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730999519",
            "country_code": "US",
            "telephone_number": "405-265-1628",
            "fax_number": "405-265-1929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "PEDRO",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roslyn Robinson
• Brandon Rochester
• Kay B Rochester, PA-C
• Rodney J. Miles, M.D., Inc.
• David Rodriguez, D.O.
• Chloe Rogers
• Cooper Rogers
• Kasey Rogers
• Malinda Elizabeth Rogers
• Cynthia Ann Roland

• Physical Therapy Assistant in Moore, OK
• Providers in Moore, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.