Bonnie Church Roder, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5216 Issued in TN

Practice address

1224 Trotwood Ave
Columbia, TN 38401-4802

Phone

(931) 381-1111

NPI assigned

Apr 11, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Independent Physical Therapy LLC

  • Physical Therapist
  • Columbia, TN
  • NPI 1932613775
  NPD (past)
• Southern Physical Therapy, LLC

  • Physical Therapist
  • Columbia, TN
  • NPI 1720162662
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1053534594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4158 BIFFLE LN",
            "city": "HAMPSHIRE",
            "state": "TN",
            "postal_code": "384614500",
            "telephone_number": "931-285-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 TROTWOOD AVE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014802",
            "telephone_number": "931-381-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODER",
        "first_name": "BONNIE",
        "middle_name": "CHURCH",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "5216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Robinson, PHARM.D.
• Misty Howell Robinson, BSW
• Tamara Lynn Robinson
• William A. Robinson, M.D.
• Brenda Rochelle
• Bradley Keith Rodgers, M.D.
• Kate M Rodgers
• Lisa Rodrigues
• Emilio J. Rodriguez, M.D.
• Paloma Ivette Rodriguez, OTR/L

• Physical Therapist in Columbia, TN
• Providers in Columbia, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.