Kimberly Anne Roderick, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

2102 S 96TH St
Tacoma, WA 98444-1753

Phone

(253) 581-2514

Fax

(253) 581-9343

NPI assigned

Mar 18, 2009

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)

Not enrolled

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1073754156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 S 96TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984441753",
            "telephone_number": "253-581-2514",
            "fax_number": "253-581-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 S 96TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984441753",
            "telephone_number": "253-581-2514",
            "fax_number": "253-581-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODERICK",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rock Paper Scissors Foundation
• Kelly G Rocke, MA, CCC-SP, ESA
• Jan Net Rockey
• Sean Rodda
• Laura Lee Rodeman, OTR/L
• Joann Mary Roderiques - Lemon
• Jessica Lee Rodger, ARNP
• Jason Allen Rodgers, PA-C
• Tania Rodgers
• Alexandra Pezzi Rodkey, RN, CRNA

• Occupational Therapy Assistant in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.