Individual provider Active NPI

Rodgie Pena

  • Physical Medicine & Rehabilitation Physician
  • Bronx, NY
National Provider Identifier
1962220194
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
62P13037101 Issued in NY
Practice address
817 E 180TH St
Bronx, NY 10460-1305
Phone
(718) 355-9652
NPI assigned
Sep 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 62P13037101 NY Primary

Addresses

Primary practice location

817 E 180TH St
Bronx, NY 10460-1305

Mailing address

817 E 180TH St
Bronx, NY 10460-1305
Phone (718) 355-9652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250108002207 NY Practitioner - Physical Therapist in Private Practice 9335677004 Reassigns benefits to 1 organization
I20251002003434 NJ Practitioner - Physical Therapist in Private Practice 9335677004 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holsman Physical and Occupational Therapy PCGroup PAC ID 8426294455, 17 clinicians
Home Therapy, LLCGroup PAC ID 9931252848, 10 clinicians
Holsman Physical Therapy and Wellness PCGroup PAC ID 2062666910, 24 clinicians
Home Therapy PT Physical and Occupational Therapy LLCGroup PAC ID 8022268747, 6 clinicians

Practice addresses (Care Compare)

1600 Saint Georges Ave
Suite 107
Rahway, NJ 07065-2713
Phone (732) 428-5566

1700 State RT
Suite 3
Clifton, NJ 07013-3928
Phone (862) 591-1000

408 Pompton Ave
Cedar Grove, NJ 07009-1813
Phone (973) 433-0732

799 Morris Park Ave
Bronx, NY 10462-3604
Phone (718) 684-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62P13037101NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holsman Physical Therapy and Wellness PC CurrentSince Aug 19, 2025 Accepting new patients
Holsman Physical and Occupational Therapy, PC CurrentSince Aug 19, 2025 Accepting new patients
Holsman Physical and Occupational Therapy PC CurrentSince Aug 19, 2025 Accepting new patients
Home Therapy PT Physical and Occupational Therapy LLC CurrentSince Nov 18, 2024 Accepting new patients
Holsman Physical Therapy and Rehabilitation PC CurrentSince Aug 19, 2025 Accepting new patients
Home Therapy, LLC CurrentSince Aug 19, 2025 Accepting new patients

Locations

408 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 433-0732

1700 State Rt 3
Clifton, NJ 07013
Phone (862) 249-4901

1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

799 Morris Park Ave
Bronx, NY 10462
Phone (718) 684-6300

817 E 180th St
Bronx, NY 10460
Phone (718) 220-8300

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1962220194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 E 180TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104601305",
            "telephone_number": "718-355-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E 180TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104601305",
            "telephone_number": "718-355-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "RODGIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "62P13037101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.