Trent Roederer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012758 Issued in OH

Practice address

155 E Main St
Suite 148
McConnelsville, OH 43756-1296

Phone

(740) 962-4441

Fax

(740) 962-4488

NPI assigned

Apr 8, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18677/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roederer Rehabilitation and Wellness Center, LLC

  • Physical Therapist
  • Byesville, OH
  • NPI 1811577364
  Medicare reassignment NPD Authorized official
• Athens Xray LLC

  • Diagnostic Radiology Physician
  • Athens, OH
  • NPI 1093189482
  NPD (past)

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504828800000",
    "number": "1033435623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 ROSEMAR RD",
            "address_2": "STE 1",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261047609",
            "telephone_number": "304-295-3060",
            "fax_number": "304-295-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E MAIN ST",
            "address_2": "SUITE 148",
            "city": "MCCONNELSVILLE",
            "state": "OH",
            "postal_code": "437561296",
            "telephone_number": "740-962-4441",
            "fax_number": "740-962-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDERER",
        "first_name": "TRENT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2017-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "012758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill R Riley, PCC
• Riverside Landing Nursing & Rehabilitation, Inc.
• Rivertown Healthcare Partners LLC
• Salem Roberts
• Heather N Robison, CDCA, QMHS
• Tara Ray Russell, LPN
• Isabella D Schilling, BA, QMHS
• Stephanie Sharrer, AAS, QMHS
• Linda Diane Sheets
• Elaine Shuster, LCDCIII

• Physical Therapist in McConnelsville, OH
• Providers in McConnelsville, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.