ASHLEY NICOLE RODRIGUEZ (PT, DPT) – Geriatric Physical Therapist, NPI 1093218810

ASHLEY NICOLE RODRIGUEZ (PT, DPT) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 5501018370 (MI). The NPI Number for ASHLEY NICOLE RODRIGUEZ (PT, DPT) is 1093218810

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY NICOLE RODRIGUEZ (PT, DPT)
NPI
1093218810
Phone
(616) 452-5900
Address
2000 32ND ST SE
Enumeration Date
18 March 2018
Last Update Date
18 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8102734170
Graduation Year
2017 (9 years ago)
PAC ID
4981039195
Group Practice PAC ID
2365718277
Professional Enrollment ID
I20200116001502
Address ID
MI481161804BR1014XAVEX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for ASHLEY NICOLE RODRIGUEZ (PT, DPT)

  • 2000, 32nd Street Southeast, Third Ward, Grand Rapids, Kent County, Michigan, 49508, United States

    GRAND RAPIDS, MI 495087910

    Phone: (616) 452-5900

    Type: Location

  • 2871, Englewood Avenue Southeast, Third Ward, Grand Rapids, Kent County, Michigan, 49508, United States

    GRAND RAPIDS, MI 495081533

    Phone: (616) 401-6948

    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: 2020-01-16

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
I20200116001502IPhysical Therapist In Private PracticeMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes42920$0
97530Therapy procedure using functional activities30920$0
97116Therapy procedure for walking training, each 15 minutes17216$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes13112$0
97162Evaluation for physical therapy, typically 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 49508)

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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: 2365718277View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeNY
-MO
Qualified Speech Language PathologistIL
Qualified Speech Language PathologistIN
Qualified Speech Language PathologistIN
-IL
Qualified Speech Language PathologistIN

Reviews

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Frequently asked questions

Where can patients find ASHLEY NICOLE RODRIGUEZ (PT, DPT)'s NPI?
You can confirm ASHLEY NICOLE RODRIGUEZ (PT, DPT) with NPI 1093218810; it appears in the national provider directory.
Is ASHLEY NICOLE RODRIGUEZ (PT, DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ASHLEY NICOLE RODRIGUEZ (PT, DPT)?
The page reflects Geriatric Physical Therapist for ASHLEY NICOLE RODRIGUEZ (PT, DPT). Clinical services aligned with this taxonomy classification.
Where does public data place ASHLEY NICOLE RODRIGUEZ (PT, DPT)?
The snapshot lists Grand Rapids, Michigan for ASHLEY NICOLE RODRIGUEZ (PT, DPT); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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