SUSAN RODERICK OTR/L NPI 1073936605

NPI Information

  • NPI: 1073936605
  • Provider Name: SUSAN RODERICK, OTR/L
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 540 PARK AVE
    MIAMISBURG, OH
    ZIP 45342
  • Phone: (937) 866-3381

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NPI Details

Susan Roderick, OTR/L is a specialist in Miamisburg, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Susan Roderick, OTR/L NPI is 1073936605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

540 PARK AVE
MIAMISBURG, OH
ZIP 45342-854
Phone: (937) 866-3381

The enumeration date for this NPI number is 2/3/2014 and was last updated on 2/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistOT1368OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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