MRS. SHANNON RAYE RODERIQUE LPTA
NPI 1992405302
Physical Therapy Assistant in O Fallon, MO
About Mrs. Shannon Raye Roderique Lpta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHANNON RAYE RODERIQUE LPTA (NPI 1992405302) is an individual physical therapy assistant in O Fallon, Missouri and active in the NPI registry since March 2023.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shannon Roderique's NPI number?
The NPI number for Shannon Roderique is 1992405302. It was assigned to this individual provider in the NPPES registry on March 6, 2023.
Where is Shannon Roderique located?
Shannon Roderique practices at 7068 S Outer 364, O Fallon, MO 63368. The listed phone number is (636) 240-6100.
What is Shannon Roderique's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Shannon Roderique was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.