Active NPI
Molly Rodriguez
- Physical Therapist
- Milton Freewater, OR
National Provider Identifier
1962169532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 64299
- Practice address
- 120 Elzora St
Milton Freewater, OR 97862-9454 - Phone
- (541) 805-4645
- NPI assigned
- Nov 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 64299 | OR | Primary |
| Physical Therapist | 225100000X | 1353286 | TX | |
| Physical Therapist | 225100000X | 13904 | TN | |
| Physical Therapist | 225100000X | PT37685 | FL |
Addresses
Primary practice location
120 Elzora St
Milton Freewater, OR 97862-9454
Mailing address
120 Elzora St
Milton Freewater, OR 97862-9454
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 |
|---|---|---|---|
| PT37685 | FL | MD | Physical Therapist |
| 64299 | OR | MD | Physical Therapist |
| 13904 | TN | MD | Physical Therapist |
| 1353286 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1962169532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 ELZORA ST",
"city": "MILTON FREEWATER",
"state": "OR",
"postal_code": "978629454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 ELZORA ST",
"city": "MILTON FREEWATER",
"state": "OR",
"postal_code": "978629454",
"telephone_number": "541-805-4645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-18",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "64299",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1353286",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "13904",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT37685",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milton Freewater, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.