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

Rodrigo Vasquez Sandoval, PT

Individual provider Physical Therapist · NPI 1255862413

Rodrigo Vasquez Sandoval, PT is a Physical Therapist in Private Practice in Greer, South Carolina. Qualified in 2023, 3 years ago. Practices with Greenville Proaxis Therapy LLC, a 222-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and South Carolina.

Years since qualifying
3
Licensed in
NY, SC
In the registry since
2017
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

713 W Wade Hampton Blvd
Greer, SC 29650-1307
Phone: (864) 479-6084
Fax: (864) 479-6091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3825 Astoria Blvd, Astoria, NY 11103-3608 — (718) 274-7300

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12382 (SC)
Physical Therapist Taxonomy 225100000X · Licence 038688 (NY)

Record details

NPI number1255862413
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 21, 2017
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Greenville Proaxis Therapy Llc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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