Individual provider Active NPI

Julia Rosaria Rodrick, OTR/L CLT-LANA;WCC

  • Occupational Therapist
  • Springfield, IL
National Provider Identifier
1255462834
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056005591 Issued in IL
Practice address
2429 Glencoe St
Springfield, IL 62704-6588
Phone
(815) 757-8986
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056005591 IL Primary

Addresses

Primary practice location

2429 Glencoe St
Springfield, IL 62704-6588

Mailing address

2429 Glencoe St
Springfield, IL 62704-6588
Phone (815) 757-8986

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address juliarodrick@sfc.allscriptsdirect.net

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
056005591ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1255462834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 GLENCOE ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046588",
            "telephone_number": "815-757-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 GLENCOE ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046588",
            "telephone_number": "815-757-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRICK",
        "first_name": "JULIA",
        "middle_name": "ROSARIA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L CLT-LANA;WCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056005591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juliarodrick@sfc.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "3020 S 6th St",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627035915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.