DR. SAMUEL WILLIAM RODRIGUEZ
NPI 1639667009
Chiropractor - Rehabilitation in Mesa, AZ

Q: What is Samuel Rodriguez's NPI number?

The NPI number for Samuel Rodriguez is 1639667009. It was assigned to this individual provider in the NPPES registry on May 1, 2018.

Q: What is Samuel Rodriguez's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Rodriguez was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since May 01, 2018

4140 E BASELINE RD STE 101, MESA, AZ 85206(480) 233-9505 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 26, 2023, May 1, 2018 (2 updates tracked since 2018).

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About Dr. Samuel William Rodriguez NPPES

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

DR. SAMUEL WILLIAM RODRIGUEZ (NPI 1639667009) is an individual rehabilitation provider in Mesa, Arizona, licensed in Arizona (8694) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1639667009

Entity TypeIndividualMale

Primary Taxonomy111NR0400X

Provider Legal NameDR. SAMUEL WILLIAM RODRIGUEZ

Location Address4140 E BASELINE RD STE 101Mesa, AZ 85206-4413

Mailing Address4140 E Baseline Rd Ste 101Mesa, AZ 85206-4413 · (480) 233-9505

Phone(480) 233-9505

Sole ProprietorYes

Enumeration DateMay 1, 2018

Last NPPES UpdateMay 26, 20232 updates tracked since enumeration

NPPES CertifiedMay 26, 2023

✔ NPI 1639667009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers

Taxonomy Code111NR0400X

License✔ Licensed in AZ · 8694

Definition

Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.

Also ListedChiropractorTaxonomy 111N00000X · License 8694 (AZ)

Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License 8694 (AZ)

4140 E BASELINE RD STE 101, Mesa, AZ 85206

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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SONYA KAYLENE DAVIS LCSW

Counselor (Mental Health)