Carol Roodman, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

118 W Jefferson Ave
Kirkwood, MO 63122-4008

Phone

(314) 582-8874

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carol Smith Former name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Sweet Peace Balance LLC

  • Occupational Therapist
  • Kirkwood, MO
  • NPI 1982477212
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1891910121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W JEFFERSON AVE",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224008",
            "telephone_number": "314-582-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W JEFFERSON AVE",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224008",
            "telephone_number": "314-582-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROODMAN",
        "first_name": "CAROL",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "004799",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "SMITH",
            "credential": "O.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mindy Robertson
• Jordan Robinson, BS, CSS
• Olivia Robinson
• Cheryl Rodak
• Jayde Michelle Rohr, BA
• Tammy Root, PHD, MS, NCC
• Roots Renewal Counseling
• Alyssa Rowbottom
• Keela Rushing, PT
• Barron E Rutledge, LCSW

• Occupational Therapist in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.