Active NPI
Jessica Rodriguez, OTR
- Occupational Therapist
- Pico Rivera, CA
National Provider Identifier
1932511631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14028
- Practice address
- 3633 Berkshire Rd
Pico Rivera, CA 90660-5931 - Phone
- (562) 522-9439
- NPI assigned
- May 29, 2014
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14028 | CA | Primary |
Addresses
Primary practice location
3633 Berkshire Rd
Pico Rivera, CA 90660-5931
Mailing address
3633 Berkshire Rd
Pico Rivera, CA 90660-5931
Phone (562) 522-9439
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14028 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401321600000",
"number": "1932511631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3633 BERKSHIRE RD",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906605931",
"telephone_number": "562-522-9439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3633 BERKSHIRE RD",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906605931",
"telephone_number": "562-522-9439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JESSICA",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-29",
"last_updated": "2014-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "14028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pico Rivera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.