Active NPI
Carolee Anne Rodrigo, CTRS, RTC
- Recreation Therapist
- Union City, CA
National Provider Identifier
1891937629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- Practice address
- 34400 Mission Blvd
Union City, CA 94587-3604 - Phone
- (510) 429-6440
- Fax
- (510) 471-8106
- NPI assigned
- Mar 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | Primary |
Addresses
Primary practice location
34400 Mission Blvd
Union City, CA 94587-3604
Mailing address
12 Mary LN
El Sobrante, CA 94803-2830
Phone (510) 429-6440
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237939200000",
"number": "1891937629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 MARY LN",
"city": "EL SOBRANTE",
"state": "CA",
"postal_code": "948032830",
"telephone_number": "510-429-6440",
"fax_number": "510-471-8106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34400 MISSION BLVD",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945873604",
"telephone_number": "510-429-6440",
"fax_number": "510-471-8106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGO",
"first_name": "CAROLEE",
"middle_name": "ANNE",
"credential": "CTRS, RTC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-25",
"last_updated": "2009-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.