Roderick'S Therapeutic Massage Service

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

RODERICK'S THERAPEUTIC MASSAGE SERVICE

Practice address

14840 Mapleridge St
Detroit, MI 48205-3023

Phone

(313) 424-2522

NPI assigned

Dec 10, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roderick Dwayne Wright

Title

Owner

Phone

(313) 424-2522

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023353554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14840 MAPLERIDGE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053023",
            "telephone_number": "313-424-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14840 MAPLERIDGE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053023",
            "telephone_number": "313-424-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODERICK'S THERAPEUTIC MASSAGE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-424-2522"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack P. Rock, M.D.
• Kathleen Rock
• Rocket Care LLC
• Morgan Rodeheffer
• Lauren Elizabeth Roderick, O.D.
• Anita M Rodgers, MA, LPC
• Aviance' Davita Rodgers
• Charllita Charmaine Rodgers
• James Rodgers, LMSW
• Jason David Rodney, M.D.

• Preferred Provider Organization in Detroit, MI
• Providers in Detroit, MI by specialty
• Preferred Provider Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.