Deirdre Rodericks, MD
Physical Medicine & Rehabilitation, Sports Medicine in Newton, Massachusetts
1619330966- Practice location
- 159 Wells Ave, Newton, MA 02459-3301
- Phone
- 617-243-5777
- Fax
- —
- Last updated
- October 5, 2021
Deirdre Rodericks is a Physical Medicine & Rehabilitation, Sports Medicine based in Newton, MA. Deirdre Rodericks practices in Newton, MA and has the professional credentials of MD. The NPI Number for Deirdre Rodericks is 1619330966 and holds a License No. 267300 (MA). The current practice location address for Deirdre Rodericks is 159 Wells Ave, Newton, MA 02459-3301 and can be reached out via phone at 617-243-5777.
Provider Profile Details
- NPI Number
- 1619330966
- Provider Name
- Deirdre Rodericks
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 159 Wells Ave, Newton, MA 02459-3301
- Phone Number
- 617-243-5777
- Primary Taxonomy
- Physical Medicine & Rehabilitation, Sports Medicine · 2081S0010X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 4, 2016
- Last Update Date
- October 5, 2021
- Certification Date
- October 5, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 159 Wells Ave
Newton, MA 02459-3301 - City
- Newton
- State
- Massachusetts
- Zip
- 02459-3301
- Phone Number
- 617-243-5777
Provider Business Mailing Address Details
- Address
- 300 1ST Ave
Charlestown, MA 02129-3109 - City
- Charlestown
- State
- MA
- Zip
- 02129-3109
- Phone Number
- 617-952-5299
License Information
- License Number (1)
- 267300
- License State (1)
- MA
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 125069738
- License State (2)
- IL
- Taxonomy (2)
- Physical Medicine & Rehabilitation · 208100000X
- Taxonomy (3)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (4)
- 290185
- License State (4)
- MA
- Taxonomy (4)
- Physical Medicine & Rehabilitation, Sports Medicine · 2081S0010X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Medicine & Rehabilitation, Sports Medicine providers near Newton, MA
View all Physical Medicine & Rehabilitation, Sports Medicine providers in Newton →- Dr. Steven Makovitch, DOPhysical Medicine & Rehabilitation, Sports Medicine · NPI 1265720858
- Samuel ObrienPhysical Medicine & Rehabilitation, Sports Medicine · NPI 1417615162
- Aimee JohnsonBehavior Technician · NPI 1083514350
- Alanis MaisonetBehavior Technician · NPI 1790685097
- Marie C Moncata, PSYDPsychologist, Clinical · NPI 1750018032
- Jehanne R CheryBehavior Technician · NPI 1134029796
Frequently Asked Questions
What is the NPI number of Deirdre Rodericks, MD?
The NPI number of Deirdre Rodericks, MD is 1619330966. It was assigned on April 4, 2016 and is currently active in the NPPES registry.
What is the specialty of Deirdre Rodericks, MD?
Deirdre Rodericks, MD is registered under the primary taxonomy Physical Medicine & Rehabilitation, Sports Medicine (code 2081S0010X), licensed in MA under license number 267300.
Where does Deirdre Rodericks, MD practice?
The practice location is 159 Wells Ave, Newton, MA 02459-3301. The office can be reached at 617-243-5777 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619330966 directly on the NPPES registry website.