Jessie Jose Rodriguez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2059309 Issued in TX

Practice address

4100 W Interstate 20
Weatherford, TX 76088-8536

Phone

(682) 716-0640

NPI assigned

Oct 14, 2024

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

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": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1942020102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61216",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661216",
            "telephone_number": "682-716-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W INTERSTATE 20",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760888536",
            "telephone_number": "682-716-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JESSIE",
        "middle_name": "JOSE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2059309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Regiena Robinson, NP
• Gary Don Robinson, APRN
• Robison Medical Staffing LLC
• Michelle Rocket
• Richard Thomas Rockwell Jr., CRNA
• Maria Rodriguez, LVN
• Destyni Kirie Rogers
• James Keith Roland, MD
• Deborah A Romack, D.D.S.
• Pamela Roman

• Physical Therapy Assistant in Weatherford, TX
• Providers in Weatherford, 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 Oct 14, 2024; 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.