Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

QUINN KENNEDY RODERICK
NPI 1417673120
Physical Therapist in Holly Springs, NC

Active since October 13, 2022
600A VILLAGE WALK DR, HOLLY SPRINGS, NC 27540(919) 285-2157 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2026, Mar 4, 2026, Feb 2, 2026 and 2 more (5 updates tracked since 2022).

About Quinn Kennedy Roderick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUINN KENNEDY RODERICK (NPI 1417673120) is an individual physical therapist in Holly Springs, North Carolina, licensed in North Carolina (P25037) and active in the NPI registry since October 2022. She maintains a secondary practice location in Sanford and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417673120
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameQUINN KENNEDY RODERICK
Location Address600A VILLAGE WALK DRHolly Springs, NC 27540-4438
Mailing Address135 Summit Lake DrApex, NC 27523-9404 · (518) 727-2396
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 13, 2022
Last NPPES UpdateSeptember 29, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1417673120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NC · P25037
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
600A VILLAGE WALK DR, Holly Springs, NC 27540

Secondary Practice Location 1

Location 1113 Hillcrest DrSanford, NC 27330-4020 · Phone (919) 777-0240

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quinn Kennedy Roderick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315406782
PECOS Enrollment IDI20260826002103

Medicare Billing Reassignment

Medicare enrollment records show Quinn Roderick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Speech-Language Pathologist
1140 SAVANNAH RIDGE RD, SUITE 111
Holly Springs, NC 27540
  • Reassigned Medicare billing, North Carolina enrollment
  • 30 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
600A VILLAGE WALK DR
HOLLY SPRINGS, NC 27540
Occupational Therapist
600A VILLAGE WALK DR
HOLLY SPRINGS, NC 27540
Speech-Language Pathologist
600A VILLAGE WALK DR
HOLLY SPRINGS, NC 27540
Occupational Therapist
600A VILLAGE WALK DR
HOLLY SPRINGS, NC 27540
Physical Therapist
600A VILLAGE WALK DR
HOLLY SPRINGS, NC 27540
Speech-Language Pathologist
600A VILLAGE WALK DR
HOLLY SPRINGS, NC 27540
Physical Therapist
600A VILLAGE WALK DR
HOLLY SPRINGS, NC 27540
Occupational Therapist
600A VILLAGE WALK DR
HOLLY SPRINGS, NC 27540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Quinn Roderick's NPI number?

The NPI number for Quinn Roderick is 1417673120. It was assigned to this individual provider in the NPPES registry on October 13, 2022.

Where is Quinn Roderick located?

Quinn Roderick practices at 600A Village Walk Dr, Holly Springs, NC 27540. The listed phone number is (919) 285-2157.

What is Quinn Roderick's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Quinn Roderick enrolled in Medicare?

Yes. Quinn Roderick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Quinn Roderick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Quinn Roderick reassigns Medicare benefits to Benefit Therapy Services, PLLC (Holly Springs, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Quinn Roderick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Quinn Roderick accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of NC and Oscar Health Plan, Inc. list Quinn Roderick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Quinn Roderick was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.