Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jenifer Rodriguez

Individual provider Physical Therapist · NPI 1972397123

Jenifer Rodriguez is a Physical Therapist in Private Practice in Glendale, Arizona. Qualified in 2012, 14 years ago. Practices with Athletic and Therapeutic Institute of Bourbonnais, LLC, a 170-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2025
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Practice location Address checks out

9494 W Northern Ave Ste 114&115
Glendale, AZ 85305-1118
Phone: (623) 745-3112
Fax: (623) 745-3335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6901 N Galena Rd, Peoria, IL 61614-3193 — (309) 692-4600

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.022751 (IL)

Record details

NPI number1972397123
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 4, 2025
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Athletic And Therapeutic Institute Of Bourbonnais, Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glendale