| Jordan Paul Rodrigues, PT, DPT | |
|
160 River Bend Dr Ste 104, Granite Falls, NC 28630-9389 | |
| (828) 572-7350 | |
| Not Available |
| Full Name | Jordan Paul Rodrigues |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 160 River Bend Dr Ste 104, Granite Falls, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184218166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11202 (South Carolina) | Secondary |
| 225100000X | Physical Therapist | P20089 (North Carolina) | Primary |
| Provider Name | Ivyrehab North Carolina Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1629568647 PECOS PAC ID: 8820336324 Enrollment ID: O20190207001822 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Paul Rodrigues, PT, DPT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 294-4050 | Jordan Paul Rodrigues, PT, DPT 160 River Bend Dr Ste 104, Granite Falls, NC 28630-9389 Ph: (828) 572-7350 |
Mr. Michael C Malone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5160 Landing View Dr, Granite Falls, NC 28630 Phone: 828-310-2998 Fax: 828-396-5649 | |
Mr. Kyle Alden Clontz, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4132 Hickory Blvd, Granite Falls, NC 28630 Phone: 828-396-3168 Fax: 828-728-8317 | |
Mrs. Christine Ann Sigmon, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 160 River Bend Dr Ste 104, Granite Falls, NC 28630 Phone: 828-212-5098 Fax: 828-330-0950 | |
Christopher Licea, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 160 River Bend Dr Ste 104, Granite Falls, NC 28630 Phone: 828-212-5098 Fax: 828-313-0376 | |
Dr. Jeffrey Michael Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Winwood Cir, Granite Falls, NC 28630 Phone: 321-288-9440 |