Corey Allen Roderick, MA, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0004808 Issued in CO

Practice address

315 S Forest St
Denver, CO 80246-8107

Phone

(765) 585-5542

NPI assigned

Jun 2, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679893515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S FOREST ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802468107",
            "telephone_number": "765-585-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S FOREST ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802468107",
            "telephone_number": "765-585-5542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Humboldt St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181614",
            "country_code": "US",
            "telephone_number": "765-585-5542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODERICK",
        "first_name": "COREY",
        "middle_name": "ALLEN",
        "credential": "MA, MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": "N/A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0004808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aja Roddy
• Michael J Rodel, AU.D
• Lesley J. Rodell, M.S.W., L.C.S.W.
• Vicky Lynn Rodenburg
• Rachel Rodeno, LCSW
• Julie Debuse Rodger, RN
• Megan Leigh Rodgers Brickweg, PA
• Ashley Virginia Rodgers, LMFT
• Caleb Rodgers, DC, RN, BSN, CCRN,
• Christine Maria Rodgers, M.D.

• Occupational Therapist in Denver, CO
• Providers in Denver, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.