ALISHA MARIE RODRIGUEZ (DPT) – Physical Therapist, NPI 1073161261

ALISHA MARIE RODRIGUEZ (DPT) is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 300107 (CA). The NPI Number for ALISHA MARIE RODRIGUEZ (DPT) is 1073161261

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ALISHA MARIE RODRIGUEZ (DPT)
NPI
1073161261
Phone
Not provided
Address
790 REMINGTON BLVD
Enumeration Date
30 August 2019
Last Update Date
14 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6195892606
Graduation Year
2019 (7 years ago)
PAC ID
3971834755
Group Practice PAC ID
0840192530
Professional Enrollment ID
I20211202002686
Address ID
CA919423806LA5905XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:6State licenses:3Digital endpointsOther names

1,887 PHYSICAL THERAPIST IN PRIVATE PRACTICE in SC

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Provider Addresses for ALISHA MARIE RODRIGUEZ (DPT)

  • 790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States

    BOLINGBROOK, IL 604404909

    Phone:

    Type: Mailing

  • 217, Saint James Avenue, Shannon Park, Goose Creek, Berkeley County, South Carolina, 29445, United States

    GOOSE CREEK, SC 294452990

    Phone: (843) 277-6232

    Type: Location

  • 2323 CATALINA CIR APT 349

    OCEANSIDE, CA 920565390

    Phone: (774) 279-1929

    Type: Mailing

  • 201 CALLE DE LOS MOLINOS

    SAN CLEMENTE, CA 926723874

    Phone: (949) 388-5692

    Type: Location

  • 204 HIDDEN OAKS DR

    JACKSONVILLE, NC 285469683

    Phone: (774) 279-1929

    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: 2021-12-02

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
I20211202002686IPhysical Therapist In Private PracticeCATBD

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 60440)

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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: 0840192530View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Is ALISHA MARIE RODRIGUEZ (DPT) listed with a National Provider Identifier?
Yes — ALISHA MARIE RODRIGUEZ (DPT) has NPI 1073161261 on file in the registry.
Active or inactive — what applies to ALISHA MARIE RODRIGUEZ (DPT)?
You should see ALISHA MARIE RODRIGUEZ (DPT) as active in CMS-hosted NPPES data.
What area of care is associated with ALISHA MARIE RODRIGUEZ (DPT)?
ALISHA MARIE RODRIGUEZ (DPT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Is ALISHA MARIE RODRIGUEZ (DPT) located near Bolingbrook?
ALISHA MARIE RODRIGUEZ (DPT) currently maps to Bolingbrook, Illinois in this extract.
Does ALISHA MARIE RODRIGUEZ (DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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