Active NPI
Jodi B Roden, PT
- Physical Therapist
- Pampa, TX
National Provider Identifier
1245280668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1114940
- Practice address
- 2111 N Hobart
Pampa, TX 79065-3415 - Phone
- (806) 665-3668
- Fax
- (806) 665-3760
- NPI assigned
- May 10, 2006
- Last updated
- Feb 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1114940 | TX | Primary |
Addresses
Primary practice location
2111 N Hobart
Pampa, TX 79065-3415
Mailing address
PO Box 339
Pampa, TX 79066-0339
Phone (806) 665-3668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1114940 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roden Investments Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1245280668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 339",
"city": "PAMPA",
"state": "TX",
"postal_code": "790660339",
"telephone_number": "806-665-3668",
"fax_number": "806-665-3760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 N HOBART",
"city": "PAMPA",
"state": "TX",
"postal_code": "790653415",
"telephone_number": "806-665-3668",
"fax_number": "806-665-3760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODEN",
"first_name": "JODI",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1114940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pampa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.