Individual provider Active NPI

Emilia A Rodriguez, PT, DPT

  • Physical Therapist
  • Bainbridge, GA
National Provider Identifier
1871790246
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016310 Issued in GA
Practice address
713 E Shotwell St
Bainbridge, GA 39819-4063
Phone
(229) 248-1000
Fax
(229) 243-0200
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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 PT33148 FL
Physical Therapist 225100000X PT016310 GA Primary

Addresses

Primary practice location

713 E Shotwell St
Bainbridge, GA 39819-4063

Mailing address

2620 SE Maricamp Rd
Ocala, FL 34471-5582
Phone (352) 732-8868

Other practice location 1

929 N US Highway 441 Ste 301
Lady Lake, FL 32159-3002
Phone (352) 433-0091

Other practice location 2

2620 SE Maricamp Rd
Ocala, FL 34471-5582
Phone (352) 351-8883

Other practice location 3

2410 W Plaza Dr
Tallahassee, FL 32308-5325
Phone (850) 385-6185

Other practice location 4

108 N Adams St
Quincy, FL 32351-2404
Phone (850) 875-0333

Other practice location 5

617 S Hansell St
Thomasville, GA 31792-5556
Phone (229) 227-0800

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
PT016310GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Therapy Services Inc Past Accepting new patients
Regional Therapy Services Inc Physical Therapist PastSince Jun 4, 2023 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1871790246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 SE MARICAMP RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715582",
            "telephone_number": "352-732-8868",
            "fax_number": "352-732-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 E SHOTWELL ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194063",
            "telephone_number": "229-248-1000",
            "fax_number": "229-243-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 N US Highway 441 Ste 301",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321593002",
            "country_code": "US",
            "telephone_number": "352-433-0091",
            "fax_number": "352-433-0676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2620 SE Maricamp Rd",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344715582",
            "country_code": "US",
            "telephone_number": "352-351-8883",
            "fax_number": "352-351-4219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2410 W Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323085325",
            "country_code": "US",
            "telephone_number": "850-385-6185",
            "fax_number": "850-385-2580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 N Adams St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "FL",
            "postal_code": "323512404",
            "country_code": "US",
            "telephone_number": "850-875-0333",
            "fax_number": "850-875-0335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "617 S Hansell St",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317925556",
            "country_code": "US",
            "telephone_number": "229-227-0800",
            "fax_number": "229-227-0833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EMILIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33148",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.