Active NPI
Karyn A. Roda, DPT
- Physical Therapist
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT02674
- Practice address
- 100 Butler Dr
Providence, RI 02906-4862 - Phone
- (401) 330-1431
- Fax
- (401) 626-3851
- NPI assigned
- May 22, 2014
- 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 | PT02674 | RI | Primary |
Addresses
Primary practice location
100 Butler Dr
Providence, RI 02906-4862
Mailing address
PO Box 1119
Providence, RI 02901-1119
Phone (401) 330-1431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Reservoir Ave
Cranston, RI 02910-4426
Phone (401) 946-4250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT02674 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay State Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205
721 Reservoir Ave
Cranston, RI 02910
Phone (401) 946-4250
800 Reservoir Ave
Cranston, RI 02910
Phone (401) 946-4250
235 Plain St
Ste 307
Providence, RI 02905
Phone (401) 414-4601
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452470400000",
"number": "1376955575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1119",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029011119",
"telephone_number": "401-330-1431",
"fax_number": "401-626-3851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BUTLER DR",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064862",
"telephone_number": "401-330-1431",
"fax_number": "401-626-3851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODA",
"first_name": "KARYN",
"middle_name": "A.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-22",
"last_updated": "2016-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT02674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.