Ashlee Nicole Roderick, PT, DPT, OCS, CMPT
Individual provider Active NPI Orthopedic Physical Therapist · Philomath, OR
NPI 1841679883 · NPPES record last updated Feb 12, 2024
Key facts
- NPI
- 1841679883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 61070 (OR)
- Practice address
- 732 Main St
Philomath, OR 97370-9725 - Phone
- (541) 929-2255
- NPI assigned
- May 22, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healing Motion Physical Therapy, Inc.
Practice addresses (Care Compare)
732 Main St
Philomath, OR 97370-9725
Phone (541) 929-2255
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151023001190 | OR | Practitioner - Physical Therapist in Private Practice | 5890004386 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61070 | OR | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Motion Physical Therapy, Inc. | Current |
Accepting new patients | |
| Pediatric Therapy Services Inc | Past |
Accepting new patients |
Locations
732 Main St
Philomath, OR 97370
Phone (541) 929-2255
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 61070 | OR | Yes |
Addresses
Primary practice location
732 Main St
Philomath, OR 97370-9725
Mailing address
732 Main St
Philomath, OR 97370-9725
Phone (541) 929-2255
Other names
- Ashlee Jensen
Other providers in Philomath, OR
- Victoria Pohl
- Elias Daniel Rademacher
- Jamie Raffety
- Phoenix Ries
- Rachel Ann Roberts
- Ronnie Hansen Therapy LLC
- Daniel Paul Rooke
- Rosemary Ayres, Ms, CCC-SLP
- Kersey Renae Schuh
- Barbara Curlee Sirianni
All providers in Philomath, OR · Orthopedic Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.