CHRISTIAN NIEL RODRIGUEZ RODRIGUEZ (DPT) – Physical Therapist, NPI 1821608308

CHRISTIAN NIEL RODRIGUEZ RODRIGUEZ (DPT) is a healthcare provider. based in Rome, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT36145 (FL). The NPI Number for CHRISTIAN NIEL RODRIGUEZ RODRIGUEZ (DPT) is 1821608308

Main info

Male
6 Years Of Experience
Name
CHRISTIAN NIEL RODRIGUEZ RODRIGUEZ (DPT)
NPI
1821608308
Phone
(407) 624-4688
Address
336 BROAD ST STE 203
Enumeration Date
9 August 2020
Last Update Date
3 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3522439341
Graduation Year
2020 (6 years ago)
PAC ID
3173049665
Group Practice PAC ID
7911131198
Professional Enrollment ID
I20250428003310
Address ID
FL347113510CL1601XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for CHRISTIAN NIEL RODRIGUEZ RODRIGUEZ (DPT)

  • 336 BROAD ST STE 203

    ROME, GA 301613006

    Phone: (407) 624-4688

    Fax: (407) 910-4223

    Type: Mailing

  • 311 W BASS ST

    KISSIMMEE, FL 347415011

    Phone: (407) 624-4688

    Fax: (407) 910-4223

    Type: Location

  • 627 8TH ST

    CLERMONT, FL 347112159

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250428003310IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30161)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911131198View full group profile
NameSpecialtyState
Qualified Speech Language PathologistFL
Qualified Speech Language PathologistFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeFL
Qualified Speech Language PathologistFL
Nurse PractitionerFL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What is the registry number for CHRISTIAN NIEL RODRIGUEZ RODRIGUEZ (DPT)?
The registry entry for CHRISTIAN NIEL RODRIGUEZ RODRIGUEZ (DPT) shows NPI 1821608308.
Should I treat CHRISTIAN NIEL RODRIGUEZ RODRIGUEZ (DPT) as an active provider?
Patients and plans typically see CHRISTIAN NIEL RODRIGUEZ RODRIGUEZ (DPT) as active in the national extract.
What type of care does CHRISTIAN NIEL RODRIGUEZ RODRIGUEZ (DPT) provide?
CHRISTIAN NIEL RODRIGUEZ RODRIGUEZ (DPT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to CHRISTIAN NIEL RODRIGUEZ RODRIGUEZ (DPT)?
The directory associates CHRISTIAN NIEL RODRIGUEZ RODRIGUEZ (DPT) with Rome, Georgia. Check all listed addresses for suites or satellite offices.
Who maintains CHRISTIAN NIEL RODRIGUEZ RODRIGUEZ (DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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