MRS. KIMBERLY ANNE RODERICK (NPI# 1073754156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073754156 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY ANNE RODERICK |
| Credential | COTA |
| Practice Address |
2102 S 96th St Tacoma WA 98444-1753 |
| Practice Telephone | 2535812514 |
| Practice Fax Number | 2535819343 |
| Mailing Telephone | 2535812514 |
| Mailing Fax Number | 2535819343 |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| Street Address |
2102 S 96TH ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98444-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679510150 | Tacoma Care Center, Inc | Skilled Nursing Facility | 2102 S 96th St, Tacoma, WA 98444-1753 | 2006-06-01 |
| 1962970533 | Highland Wellnesscare, LLC | Skilled Nursing Facility | 2102 S 96th St, Tacoma, WA 98444-1753 | 2018-11-12 |
| 1942794896 | Tacoma Health & Rehab LLC | Skilled Nursing Facility | 2102 S 96th St, Tacoma, WA 98444-1753 | 2018-06-14 |
| 1184151920 | Megan Elizabeth Barlas | Occupational Therapy Assistant | 2102 S 96th St, Tacoma, WA 98444-1753 | 2017-05-11 |
| 1801236278 | Kristen Schuck | Respiratory Therapist, Certified | 2102 S 96th St, Tacoma, WA 98444-1753 | 2013-07-01 |
| 1396019477 | Maria Liza Sabaoan Garcia | Physical Therapist | 2102 S 96th St, All Board Certification Status', Tacoma, WA 98444-1753 | 2012-03-07 |
| 1922249911 | Roberta H. Treviranus | Physical Therapy Assistant | 2102 S 96th St, Tacoma, WA 98444-1753 | 2009-03-20 |
| 1336380625 | Patrick Bernard Creegan | Physical Therapy Assistant | 2102 S 96th St, Tacoma, WA 98444-1753 | 2009-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356820039 | Reuben Edward Robinson | Massage Therapist | 10603 16th Avenue Ct S Apt 8, Tacoma, WA 98444 | 2018-08-13 |
| 1720507601 | Jayna Marie Owens | Counselor | 14016 A Street South, Tacoma, WA 98444 | 2017-09-12 |
| 1578011425 | Kyleigh Harlow | Dietitian, Registered | 11011 Park Ave S, C212, Tacoma, WA 98444 | 2016-09-20 |
| 1104220565 | Kehau Tester | Specialist | 9020 A Street, Tacoma, WA 98444 | 2014-10-14 |
| 1669874061 | Andrea Dawn Mckamey | Massage Therapist | 101 138th St. E., 28, Tacoma, WA 98444 | 2014-09-17 |
| 1841609666 | Marci Oswald | Dental Hygienist | 130 131st Street South, Tacoma, WA 98444 | 2014-08-06 |
| 1841611829 | Lucas Victor Briggs | Physical Therapist | 223 140th St. South Suite # 700, Elite Physical Therapy, Tawma, WA 98444 | 2013-12-18 |
| 1457798092 | Dent Korsmo & Henry D.d.s., P.s. | Dentist | 12165 Pacific Ave, Suite A, Tacoma, WA 98444 | 2013-05-22 |
| 1740521566 | Kristine-cassandra B. Papa | Massage Therapist | 10202 Pacific Ave. S, Suite 215, Tacoma, WA 98444 | 2013-03-04 |
| 1356687941 | Matthew Hockin | Dentist | 223 140th Street South, Suite 800, Tacoma, WA 98444 | 2012-12-31 |
| Find all providers in zip 98444 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417413329 | Lisa Lynn Tipton | Occupational Therapy Assistant | 90390 Gardner Loop Drive, Tacoma, WA 98431-0001 | 2019-02-15 |
| 1962902957 | Andrea G Johnson | Occupational Therapy Assistant | 7919 N 9th St, Tacoma, WA 98406-1095 | 2018-02-15 |
| 1083127187 | Alonzo Bowles | Occupational Therapy Assistant | 1216 S 37th St, Tacoma, WA 98418-3902 | 2017-11-10 |
| 1417475195 | Caitlin Rose Ross | Occupational Therapy Assistant | 846 S Sprague Ave, Tacoma, WA 98405-3009 | 2017-09-01 |
| 1336692482 | Tamara Paynter | Occupational Therapy Assistant | 15 North E Street, Apartment 38, Tacoma, WA 98403 | 2016-07-25 |
| 1427423961 | Michael Joel Mcintyre | Occupational Therapy Assistant | 29 St Helens Ave, Apt 1210, Tacoma, WA 98402-2615 | 2015-12-09 |
| 1467823104 | Michael Jackson | Occupational Therapy Assistant | 1913 N Oakes St Apt D, Tacoma, WA 98406-7527 | 2015-10-07 |
| 1003293309 | Robert Wilkins | Occupational Therapy Assistant | 1901 S 72nd St Ste A-1, Tacoma, WA 98408-1200 | 2015-05-06 |
| 1306239694 | Veronica Bullis | Occupational Therapy Assistant | 4632 143rd St E, Tacoma, WA 98446-4134 | 2015-03-10 |
| 1619371218 | Ray Gray | Occupational Therapy Assistant | 11218 18th Ave S, Apt. G-101, Tacoma, WA 98444-1460 | 2014-10-10 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.