Stephanie Rodriguez

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160071457 Issued in WA

Practice address

1249 SE High Ridge CT
Port Orchard, WA 98367-9656

Phone

(360) 271-3909

NPI assigned

Oct 7, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1861776916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 SE HIGH RIDGE CT",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983679656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 SE HIGH RIDGE CT",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983679656",
            "telephone_number": "360-271-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160071457",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "9554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Anne Robertson, N.D
• Rodneisha Monique Robertson
• Justin Lee Robison, DMD
• Timothy Bruce Rockwell, PT
• Katherine Ann Rodriguez
• Anna Lyn Rogers, BCBA, LMFTA
• Lynn Rohn, LMP
• Carly Briley Hope Roland
• Rooted Connections Counseling
• Marcus Alan Rovira

• Physical Therapy Assistant in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.