Jose Antonio Rodriguez, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1971-19 Issued in WI

Practice address

146 Clover St
Williams Bay, WI 53191-9779

Phone

(262) 245-6400

NPI assigned

Jan 31, 2013

Last updated

Jan 31, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Antonio Rodriguez Other name

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": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1902145667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 MADISON ST",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531471134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 CLOVER ST",
            "city": "WILLIAMS BAY",
            "state": "WI",
            "postal_code": "531919779",
            "telephone_number": "262-245-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1971-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONIO",
            "last_name": "RODRIGUEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Northland Neurology S.C.
• NSH Williams Bay LLC (Williams Bay Health Services)
• NSH Williams Bay-Sherwood LLC (Sherwood Lodge Assisted Living)
• Private Healthcare Facilities
• Shana Reed, LPN
• Amanda C Romero, LCSW
• Lindsey Schaetz, RN
• Kaitlin Somppi
• Alex J. Sorce, LCSW
• Sarah L Splinter, LCSW, MSW

• Physical Therapy Assistant in Williams Bay, WI
• Providers in Williams Bay, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.