Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEIRDRE RODERICKS, M.D.
Active Sole ProprietorDEIRDRE RODERICKS, M.D. is a Sports Medicine (PM&R) healthcare provider located in NEWTON, Massachusetts. NPI 1619330966 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · NEWTON, MA
Registration Details
- NPI Number
- 1619330966
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 4, 2016 (10.318258972701 yrs)
- Last Updated
- Oct 5, 2021
- Licenses
-
267300 (MA)125069738 (IL)290185 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
159 WELLS AVENEWTON, MA, 024593301Browse MA providers · Browse ZIP 02459
- Phone
- 6172435777
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Sports Medicine (PM&R)
Other Sports Medicine (PM&R) Providers in NEWTON, MA
| Name | Credential | NPI |
|---|---|---|
| DR. STEVEN MAKOVITCH | D.O | 1265720858 |
| SAMUEL OBRIEN | — | 1417615162 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.