RANDY RODRIGUEZ PT, DPT
NPI 1134056476
Physical Therapist in Ogden, UT

Active since May 08, 2026Accepts Medicare Assignment
433 W 12TH ST, OGDEN, UT 84404(801) 815-9296 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Randy Rodriguez Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDY RODRIGUEZ PT, DPT (NPI 1134056476) is an individual physical therapist in Ogden, Utah and active in the NPI registry since May 2026. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1134056476
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameRANDY RODRIGUEZCredential: PT, DPT
Location Address433 W 12TH STOgden, UT 84404-5506
Mailing Address1429 N 250 WLayton, UT 84041-5860 · (801) 815-9296
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMay 8, 2026
NPPES CertifiedMay 7, 2026
✔ NPI 1134056476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
433 W 12TH ST, Ogden, UT 84404

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Randy Rodriguez Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395217319
PECOS Enrollment IDI20260610003763

Medicare Billing Reassignment

Medicare enrollment records show Randy Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
1952 E 7000 S, SUITE 100
Salt Lake City, UT 84121
  • Reassigned Medicare billing, Utah enrollment
  • 178 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Rodriguez's NPI number?

The NPI number for Randy Rodriguez is 1134056476. It was assigned to this individual provider in the NPPES registry on May 8, 2026.

Where is Randy Rodriguez located?

Randy Rodriguez practices at 433 W 12th St, Ogden, UT 84404. The listed phone number is (801) 815-9296.

What is Randy Rodriguez's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Randy Rodriguez enrolled in Medicare?

Yes. Randy Rodriguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Randy Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randy Rodriguez reassigns Medicare benefits to Mountain Land Rehabilitation LLC (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randy Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randy Rodriguez accept?

Health plans from University of Utah Health Plans list Randy Rodriguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randy Rodriguez was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.