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NPI Code Detail

MEDICARE: MR. STEVEN ANTHONY RODGERS OT

MEDICARE: MR. STEVEN ANTHONY RODGERS OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist001866IA
2225X00000XOccupational Therapist056007277IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1056-007277OTHERILILLINOIS OT LICENSE

General Provider Information

NPI Number : 1679572101
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEVEN ANTHONY RODGERS OT
Provider Business Mailing Address
First Line : 5250 COMPETITION DR STE 100
Second Line :
City : BETTENDORF
State : IA
Zip : 52722-8837
Country : US
Telephone Number : 563-322-0971
Fax Number :
Provider Business Practice Location Address
First Line : 5250 COMPETITION DR STE 100
Second Line :
City : BETTENDORF
State : IA
Zip : 52722-8837
Country : US
Telephone Number : 563-322-0971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 03/17/2026

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