Individual provider Active NPI

Karylin I Rodriguez, PT, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1982464046
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.028095 Issued in IL
Practice address
5206 S Harper Ave
Chicago, IL 60615-4114
Phone
(312) 298-9342
NPI assigned
Mar 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.028095 IL Primary

Addresses

Primary practice location

5206 S Harper Ave
Chicago, IL 60615-4114

Mailing address

2000 S Michigan Ave Apt 211
Chicago, IL 60616-4749
Phone (787) 448-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240509002492 IL Practitioner - Physical Therapist in Private Practice 3375984206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Puerto Rico School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andersonville Physical Therapy, SCGroup PAC ID 9133170731, 10 clinicians

Practice addresses (Care Compare)

5414 N Broadway St
Chicago, IL 60640-1704
Phone (773) 907-3599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.028095ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Andersonville Physical Therapy, SC Physical Therapist CurrentSince Mar 26, 2025 Accepting new patients

Locations

5414 N Broadway St
Chicago, IL 60640
Phone (773) 907-3599

Organizations & group practices 1

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": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1982464046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MICHIGAN AVE APT 211",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164749",
            "telephone_number": "787-448-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 S HARPER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154114",
            "telephone_number": "312-298-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KARYLIN",
        "middle_name": "I",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.028095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.