Individual provider Active NPI

Catherine Rodriguez

  • Physical Therapist
  • Bolingbrook, IL
National Provider Identifier
1891161816
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60549973 Issued in WA
Practice address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone
(630) 296-2223
Fax
(630) 759-9510
NPI assigned
Aug 13, 2015
Last updated
Aug 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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 60549973 WA Primary

Addresses

Primary practice location

790 Remington Blvd
Bolingbrook, IL 60440-4909

Mailing address

6985 Coal Creek Pkwy SE
Newcastle, WA 98059-3136
Phone (425) 378-0500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150923001781 WA Practitioner - Physical Therapist in Private Practice 3577870518 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Sports and Spine Physical Therapy PLLCGroup PAC ID 4688119647, 3 clinicians
Quest Physical Therapy LLCGroup PAC ID 7012105901, 8 clinicians

Practice addresses (Care Compare)

3201 Willamette Dr NE
Suite C
Lacey, WA 98516-1376
Phone (360) 995-1999

5704 E Lake Sammamish Pkwy SE
Suite 101
Issaquah, WA 98029-8941
Phone (425) 270-3323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60549973WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Physical Therapy, LLC Physical Therapist CurrentSince Feb 8, 2021 Accepting new patients
Elevate Sports and Spine Physical Therapy, PLLC Physical Therapist CurrentSince Feb 1, 2026 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Aug 6, 2015 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Aug 6, 2015 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

5704 E Lake Sammamish Pkwy SE
Ste 101
Issaquah, WA 98029
Phone (425) 270-3323

3201 Willamette Dr NE
Ste C
Lacey, WA 98516
Phone (360) 455-0100

6985 Coal Creek Pkwy SE
Newcastle, WA 98059
Phone (425) 378-0500

Organizations & group practices 4

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": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1891161816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6985 COAL CREEK PKWY SE",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593136",
            "telephone_number": "425-378-0500",
            "fax_number": "425-378-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60549973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.