Nicole Marie Rodrick, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CV2100360 Issued in IN

Practice address

8902 N Meridian St Ste 120
Indianapolis, IN 46260-5306

Phone

(317) 581-1890

Fax

(317) 581-2436

NPI assigned

Feb 2, 2021

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

Other names 1

• Nicole Marie Dodd Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1063003937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 SCARLET OAK WAY APT 238",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379149",
            "telephone_number": "812-639-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST STE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605306",
            "telephone_number": "317-581-1890",
            "fax_number": "317-581-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRICK",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "CV2100360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "DODD",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leslie Robin Rodgers, MS, OTR
• Gregory F Rodick, LCSW
• Erin Jane Rodman, PHARMD
• Kelly G Rodman, DO
• Rodney J.S. Deaton, M.D., P.C.
• Thea Jana Quibod Rodrigo
• Kaira Rodriguez Benitez, DC
• Erasmo Rodriguez Escalante-Bravo
• Fabiana Rodriguez Mendoza
• Danae P Rodriguez Meraz, LMHCA

• Physical Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.