Physician Compare National (NPI:1841679883)

HEALTHCARE PROVIDER: ASHLEE NICOLE RODERICK PT, DPT, OCS, CMPT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1841679883
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890004386
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151023001190
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RODERICK
	Individual professional last name
Provider First Name	ASHLEE
	Individual professional first name
Provider Middle Name	NICOLE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HEALING MOTION PHYSICAL THERAPY, INC.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8426078361
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	6
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	732 MAIN ST
	Group Practice or individual's line 1 address
City	PHILOMATH
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	973709725
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5419292255
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y