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

Jonathan Louis Rodriguez, PT, DPT

Individual provider Physical Therapist · NPI 1215419593

Jonathan Louis Rodriguez, PT, DPT is a Physical Therapist in Private Practice in Albuquerque, New Mexico. Qualified in 2018, 8 years ago. Practices with Physical Therapy at Dawn LLC, a 31-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey, New Mexico and New York.

Years since qualifying
8
Licensed in
NJ, NM, NY
In the registry since
2018
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4411 San Mateo Blvd NE Ste 11
Albuquerque, NM 87109-2011
Phone: (515) 217-3907
Fax: (505) 348-0063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 178 Lakeview Ave, Clifton, NJ 07011-4071 — (973) 998-8828
  • 645 Bloomfield Ave, Verona, NJ 07044-1831 — (973) 944-2012

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (NM)
Physical Therapist Taxonomy 225100000X · Licence 0160837 (NY)
Physical Therapist Taxonomy 225100000X · Licence 40QA02053300 (NJ)

Record details

NPI number1215419593
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 3, 2018
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Physical Therapy At Dawn Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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