Ms. Stacey L Roderick, PTA
Physical Therapy Assistant in Dorchester, Massachusetts
1831316082- Practice location
- 854 Dorchester Ave, Unit#1, Dorchester, MA 02125-1133
- Phone
- 617-265-3735
- Fax
- —
- Last updated
- July 8, 2007
Stacey Lynn Roderick is a Physical Therapy Assistant based in Dorchester, MA. Stacey Lynn Roderick practices in Dorchester, MA and has the professional credentials of PTA. The NPI Number for Stacey Lynn Roderick is 1831316082 and holds a License No. 3716 (MA). The current practice location address for Stacey Lynn Roderick is 854 Dorchester Ave, Unit#1, Dorchester, MA 02125-1133 and can be reached out via phone at 617-265-3735.
Provider Profile Details
- NPI Number
- 1831316082
- Provider Name
- Stacey Lynn Roderick
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 854 Dorchester Ave, Unit#1, Dorchester, MA 02125-1133
- Phone Number
- 617-265-3735
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 19, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 854 Dorchester Ave
Unit#1
Dorchester, MA 02125-1133 - City
- Dorchester
- State
- Massachusetts
- Zip
- 02125-1133
- Phone Number
- 617-265-3735
Provider Business Mailing Address Details
- Address
- 854 Dorchester Ave
Unit#1
Dorchester, MA 02125-1133 - City
- Dorchester
- State
- MA
- Zip
- 02125-1133
- Phone Number
- 617-265-3735
License Information
- License Number
- 3716
- License State
- MA
- Taxonomy
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapy Assistants near Dorchester, MA
View all Physical Therapy Assistants in Dorchester →- Drew INC.Physical Therapy Assistant · NPI 1215972534
- Eileen Foulston, PTAPhysical Therapy Assistant · NPI 1144419722
- Gregory GdanianPhysical Therapy Assistant · NPI 1225926710
- Health & Sports Rehab, INC.Physical Therapy Assistant · NPI 1861434250
- John Foulston, PTAPhysical Therapy Assistant · NPI 1053500728
- Michael D Townsend, PTAPhysical Therapy Assistant · NPI 1942401658
Frequently Asked Questions
What is the NPI number of Ms. Stacey L Roderick, PTA?
The NPI number of Ms. Stacey L Roderick, PTA is 1831316082. It was assigned on April 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Stacey L Roderick, PTA?
Ms. Stacey L Roderick, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 3716.
Where does Ms. Stacey L Roderick, PTA practice?
The practice location is 854 Dorchester Ave, Unit#1, Dorchester, MA 02125-1133. The office can be reached at 617-265-3735 (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 1831316082 directly on the NPPES registry website.