Grace Rodriguez

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14609158 Issued in TX

Practice address

1370 Emerald Gate LN
El Paso, TX 79936-7261

Phone

(915) 503-6220

NPI assigned

Mar 25, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Grace Hernandez Former name

Electronic endpoints 1

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1912534223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 EMERALD GATE LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 EMERALD GATE LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367261",
            "telephone_number": "915-503-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GRACE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "14609158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "14609158",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Grace.r.pta@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1370 Emerald Gate Ln",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799367261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "HERNANDEZ",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabriela Itzel Rodriguez, CCC-SLP
• Gabriella Rosario Rodriguez
• George Rodriguez, RN
• Gilbert Rodriguez, PHARMD
• Gissela Rodriguez
• Grisel Julieta Rodriguez, M.S.
• Gustavo J Rodriguez, MD
• Halil Elijah Rodriguez, PT, DPT
• Heather L Rodriguez, PT, DPT
• Hector Rodriguez

• Physical Therapy Assistant in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.