| Daniel Rodriguez, PT | |
|
2400 Legacy Ct, Santa Fe, NM 87507-4819 | |
| (505) 501-8623 | |
| Not Available |
| Full Name | Daniel Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2400 Legacy Ct, Santa Fe, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730587940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251G0304X | Physical Therapist - Geriatrics | 3866 (New Mexico) | Secondary |
| 225100000X | Physical Therapist | 3866 (New Mexico) | Primary |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336720218 PECOS PAC ID: 2365359932 Enrollment ID: O20210623000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Rodriguez, PT 3900 Calle Olivo Ne, Albuquerque, NM 87111-4341 Ph: (505) 453-2379 | Daniel Rodriguez, PT 2400 Legacy Ct, Santa Fe, NM 87507-4819 Ph: (505) 501-8623 |
Mallory Law, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2579 Camino San Patricio, Santa Fe, NM 87505 Phone: 505-204-6082 | |
Nancy Susan Newhall, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1807 2nd St, Suite 101, Santa Fe, NM 87505 Phone: 505-982-8561 Fax: 505-989-1740 | |
Legacy Healthcare Services Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5011 Las Soleras Dr, Santa Fe, NM 87507 Phone: 855-239-3467 | |
Virginia Ann Byrd, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 404 Brunn School Rd, Suite D, Santa Fe, NM 87505 Phone: 505-983-0670 Fax: 505-983-0118 | |
Cindy O'rourke, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2538 Camino Entrada Ste 300, Santa Fe, NM 87507 Phone: 505-424-1239 | |
Mrs. Adriana Vega Wostal, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 720 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-438-9402 | |
Dr. Liam James Kavin, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15 Dulce Rd, Santa Fe, NM 87508 Phone: 207-319-5348 |