Individual provider · Type 1 NPI

Kevyn Rodriguez, PTA

Physical Therapy Assistant · Chicago, IL

NPI number 1992638720 Active

Practice location

6526 S Pulaski Rd
Chicago, IL 60629-5136

Call (773) 585-9460 Map

Mailing address

1306 S 49th Ct
Cicero, IL 60804-1425

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	160.010638 (IL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1992638720

Kevyn Rodriguez, PTA's National Provider Identifier is 1992638720, issued on Jun 3, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Chicago, IL. The record was last updated on Jun 3, 2026.